| Order Form | (back) | |
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| For every bottle purchased, $1 will go to Devils in Danger Foundation | To order bottles of Salvation, print out and complete this form. If you want to pay by cheque, post the form together with your cheque to: Meadowbank Estate, 699 Richmond Road, Cambridge Tasmania 7170. If you wish to pay by credit card, FAX the form to (03) 6248 4485. you may also place your order by telephone: (03) 6248 4484. eMail: office@meadowbankwines.com.au |
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| The Salvation Range | ||
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| salvation Brut | No. Bottles x 750ml @ $29.00 each | = $ |
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| salvation Chardonnay | No. Bottles x 750ml @ $24.00 each | = $ |
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| salvation Pinot Noir | No. Bottles x 750ml @ $24.00 each | = $ |
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| Sub Total | = $ | |
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| Freight | No. of cases @ $ | = $ |
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| Grand Total | = $ | |
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| Purchase Details | |
| Name: | |
| Delivery Address: | |
| Suburb: State: P/C: | |
| Daytime Telephone: | |
| eMail: | |
| Card Name: | |
| Mastercard [ ] Visa [ ] Amex [ ] | |
| Card Number: | | | | | | | | | | | | | | | | | | | |
| Signature: | Expiry: / | |
| Freight rates (per case) | ||
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| Anywhere in Tasmania | Free | Please note: All prices include taxes and insurances |
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| Melbourne/Vic Country | $15 | |
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| Sydney/NSW Country/Brisbane/SA | $20 | |
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| Qld Country/WA | $30 | |
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| NT/Other areas | $45 | |
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