1847 - Fine Wines - Barossa Valley, South Australia

Please note, only orders within Australia are taken on the form below. International customers please visit our Distributors page.

If you would prefer to print an order form in PDF format and fax it to us you can download it here.

Please complete all fields marked *.

*First Name:**
*Surname:**
*Address:**
*Town/City:**
*Postcode:**
*Phone (Home):**
Phone (Work):
Mobile:
Fax:
*E-mail:**

REDS	Amount	Single	Dozen
2004 Pappy's Paddock Shiraz		$41.90	$502.80
2004 Home Block Petit Verdot		$41.90	$502.80
WHITES
2004 Emma Lydia's Garden Semillon		$26.75	$321.00
2005 Emma Lydia's Garden Semillon 500 ml		$19.00	$228.00
2004 High Patch Chardonnay		$26.75	$321.00
2005 High Patch Chardonnay 500 ml		$19.00	$228.00
Total Number of Bottles

Subtotal:
*Destination:**
Freight :
TOTAL :

Payment Method

Visa	Mastercard

Visa or Mastercard: We will contact you to request your card details. Payments are handled by PayPal for your security.

Cheque: Please make cheques payable to "Curnow Family Vineyards"

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.

Please Note: Orders must be a minimum of three bottles and a maximum of six dozen (72) bottles.

* Destination: Orders other than to a capital city will have additional postage costs.
Please contact us for further information.

I am over 18 years of age.

Freight/Packing Costs per Carton - Delivery door-to-door road service
(Subject to change without notice)

Destination	3 -12 Bottles	Additional Cartons
Sydney	$15.00	$13.00
Canberra	$18.00	$15.00
Melbourne	$13.00	$12.00
Brisbane	$16.00	$14.00
Adelaide	$7.00	$7.00
Perth	$22.00	$20.00
Darwin	$25.00	$23.00
Hobart	$28.00	$26.00