Cullenya Wines
260 Homebush Road, Avoca. 3467

Phone: (03) 5465 3485
Email: cullnya@bigpond.net.au

Cullenya Wines Order Form

Print this page and secure your selection by faxing, posting,  e-mailing or contacting the winery direct.
 
Year Variety

$ per Bottle (Single)

$ per dozen
Buy 12, pay for 11 

 Quantity Total
2003 Cabernet/Merlot $19.00 $209.00    
2003 Cabernet/Shiraz $19.00 $209.00                   
2004 Shiraz $19.00 $209.00    
2004 Cabernet Sauvignon $19.00 $209.00    
2004 Chardonnay $16.00 $176.00    
2005 Chardonnay $16.00 $176.00    
  FREIGHT  
  TOTAL  

Yes we are happy to make up mixed dozens.

Freight via Australia Post

Weight Melb Vic
Regional		 Sydney NSW
Regional		 Adelaide S.A.
Regional		 Tasmania Brisbane Perth NT
17kg (1 Doz) $11.10 $11.10 $17.00 $17.85 $17.00 $25.50 $25.50 $32.30 $46.75 $51.85

For regional Queensland and Western Australia
freight information please call the winery.

Payment - by cheque or fill in details below
 

MASTERCARD   (   )    VISA  (   ) BANKCARD  (   )

Number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _    Expiry Date: _ _ / _ _       TOTAL $ _ _ _ _ _ _

Mr/Mrs/ Miss/ Ms/ First Name: _______________ Surname: __________________

Address: ____________________________________________________ Postcode: ____

Delivery Instructions: ________________________________________________________

Phone: Bh: ______________ Ah: ________________ Signature: ________________