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2009-2010 ORDER FORM

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

Item Price (doz) Quantity Total
2007 Cabernet Sauvignon $200.00 $
2006 "Force 10" Reserve Shiraz $230.00 $
2007 Shiraz $195.00 $
2007 Howlin' Gale Doctor $200.00 $
Freight (non-SA only) $10.00 $
Total $

Name:   *

Address:*

Phone:  *

email:  

Special delivery instructions:

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

Payment Details:

Cheque made payable to Howlin' Gale Wines Pty Ltd

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

Credit Card:

Please debit my credit card:    Visa      Mastercard

Name on card:

Card number:  

Expiry date:     

CVV:                 (3 digits on back of card)
 

Print, and post or fax your order, or PRESS -->

Wine Prices include WET tax, GST and SA Freight

 Howlin' Gale Wines Pty Ltd
DOGLAKE ROAD, LANGHORNE CREEK, SA 5255
PHONE/FAX: (08) 8537 3144

email: tom@howlingalewines.com.au
 

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