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LET'S GO SHOPPING

By submitting this form to Bulga Wine Estates, you will receive a tax invoice via email to your nominated email address below. Once payment has been received your goods will be dispatched in a timely fashion. If you have any queries about your order please don't hesitate to contact us.

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First name 
Last name 
Phone number (daytime) 
Phone number (after hours) 
Email Address 
Residential Address
Address 
City 
    Postcode 
Delivery Address (if different to above)
Address 
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Product selection - Straight Dozens
Straight Dozen Shiraz 1999 No. of Cases @ $150.00 inc GST
Straight Dozen Shiraz 2000 No. of Cases @ $170.00 inc GST
Straight Dozen Shiraz 2003 No. of Cases @ $170.00 inc GST
Straight Dozen Chardonnay 2004 No. of Cases @ $150.00 inc GST
Total No. of Straight Dozen Cases (please enter a 0 for none

Product Selection - Mixed Dozens
Quantity  
6 bottles 00 Shiraz plus 6 bottle Chard @ $160.00 inc GST Quantity  
6 bottles 03 Shiraz plus 6 bottle Chard @ $160.00 inc GST Quantity  
Total No. of Mixed Dozen Cases (please enter a 0 for none)

  Total number of cases  
Freight per case inc GST   Total Freight inc GST  
GRAND TOTAL inc GST  

PLEASE NOTE : Order more than 3 cases and freight is free

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GOVERNMENT WARNING
Under the liquor Control Reform Act 1998 it is an offence
· To supply alcohol to a person under the age of 18 years (Penalty exceeds $6000)
· For a person under the age of 18 years to purchase or receive liquor (Penalty exceeds $500)
Liquor Licence No. 36057071

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