• Single Vineyard South Australian Cool Climate
Red Wines
• Cheeky, value for money drinking wines...
CELLAR DOOR
PRICE LIST & WINE ORDER FORM
Phone: (08) 8388
9773
Facsimile: (08) 8388
9373
If you would like
to order wine please complete and return this order form to Macclesfield
Estate Vineyards.
Orders can be faxed or posted to: PO Box 433 Macclesfield South Australia
5153.
Prices are in
Australian Dollars and inclusive of GST if applicable
TOTAL
AMOUNT PAYABLE
$
YOUR
CONTACT AND ORDER DELIVERY INFORMATION*
(You must be over 18 years of age
to order wine)
Mr / Mrs / Ms
/ Miss / Dr
First Name:
Surname:
Street Address*:
Special Delivery
Instructions#:
(*Address: Please
do not use PO Box numbers #Delivery Instructions
- e.g. Between 9 - 5 only, etc. )
Suburb/Town:
State:
Postcode:
Phone:
Facsimile:
Email*:
*If
you would prefer not to receive future updates and information from
Bendbrook Vineyard - please tick here :
ORDER PAYMENT (Please complete)
Non credit
card payment: Cheque / Money Order Please
make payable to: Macclesfield Estate Vineyards or
Credit
Card Payment Authority
Credit Card Type:
Visa / Mastercard
Credit Card Number:
Expiry Date:
Credit Cardholder
Name:
Signature:
WARNING Under the Liquor Control Reform Act 1998, it
is an offence to supply alcohol to a person under the age of 18 years
and for a person under the age of 18 years to purchase or receive liquor.
By ordering you are confirming that you are over 18 years of age.