| Product (per bottle) | Per case (1 dozen) | Amount ordered | Cost | |
| 2004 Shiraz | $29.90 | $322.92 | ......................... | $........................ |
| 2005 Cab Merlot | $19.90 | $214.92 | ......................... | $........................ |
| 2005 Chardonnay | $19.90 | $214.92 | ......................... | $........................ |
| Liqueur Muscat | $21.90 | $262.00 | ......................... | $........................ |
| Port | $18.90 | $226.80 | ......................... | $........................ |
| Abbey Ale | $80.00 (24) | ......................... | $........................ | |
| Total | $........................ | |||
Note: All prices include GST.
FREIGHT COSTS: We use the services of Australia Post as a member of the WA Wine Industry. When we receive your order we will advise freight costs based on destination and add this to the total amount charged.
Delivery Details
Name: ...........................................................................................
Delivery Address: .........................................................................
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.........................................................Postcode: .............................
Telephone: ...................................... Fax: .....................................
Special delivery instructions: ..........................................................
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| __ Cheque | __ Bankcard | __ Visa Card | __ MasterCard |
Credit Card Number __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Valid Until: .............................. Signature: ...............................................
Licensee: Benedictine Community of New Norcia
Licence Number: 6010011312
New Norcia Hotel
Great Northern Highway, NEW NORCIA 6509
Ph. +61 8 9654 8034 Fax. +61 8 9654 8011
Email. hotel@newnorcia.com