2011-2012 ORDER FORM

Howlin' Gale Wines Pty Ltd ACN 079 009 466 ABN 33 959 859 942

Item	Price (doz)	Quantity	Total
2009 Cabernet Sauvignon	$195.00		$
2009 "Force 10" Reserve Shiraz (6 packs only - $140 ea. To order enter .5 as quantity...)	$280.00		$
2009 "Velocity" Cabernet/Shiraz	$135.00		$
2009 Howlin' Gale Doctor (6 Force 10 Shiraz, 3 Cabernet, 3 Velocity)	$200.00		$
2008 Cabernet Sauvignon	$200.00		$
Freight per case (non-SA only)	$10.00		$
Total			$

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email:

Special delivery instructions:

* I declare that I am over 18 years of age.

Payment Details:

Cheque made payable to

Direct Credit to National Bank - BSB: 085-921 Acct: 54-207-2834

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Wine Prices include WET tax, GST and SA Freight

DOGLAKE ROAD, LANGHORNE CREEK, SA 5255
PHONE/FAX: (08) 8537 3144