Epsilon Wines: Order Form

Your Name:

Date:

2018-02-26

Deliver To:

Postcode:

Delivery Notes:

Home Phone:

Work Phone:

Mobile Phone:

Email:

Select from the list to Order	Quantity	Price	Totals
Total Bottles	0	Sub Total Discount Total	$0.00 $0.00 $0.00
Barossa Valley Shiraz 2016		$20.00 ($240 per Dozen)
Barossa Valley Shiraz 04,05,06,07,08,09,10,12,13,14,15		Museum Stock Available - Please enquire
'Nineteen Ninety Four' Greenock Shiraz 2013		$45.00 ($270 per 6)
'Nineteen Ninety Four' Greenock Shiraz 10,12		Museum Stock Available - Please enquire
Barossa Valley Tempranillo 2014		$25.00 ($300 per Dozen)
Barossa Valley Tempranillo 06,07,08,09,10,12,13		Museum Stock Available - Please enquire
LBV Fortified Shiraz 2007		$25.00 ($150 per 6)
LBV Fortified Shiraz 05,06		Museum Stock Available - Please enquire

Liquor Licensing Act 1997: It is an offence to sell or supply liquor to a person under the age of 18 years, or to obtain liquor on behalf of a person under the age of 18 years.

With orders of 12 or more bottles, a 10% discount
is applied automatically to the total price.

6 Bottles minimum order.
Free Delivery to anywhere in Australia.

Direct Deposit Details

A J Southern Vinyards Pty Ltd

NATIONAL AUSTRALIA BANK
BSB: 085779
Account: 83 206 4963

Please allow 7 working days for delivery
once payment has been finalised.

I am over 18 years old.

Epsilon Wines Order Form