Australian Classic Wines

Order Form

To place an order fill out what you require from our catalogue, customer information, delivery address if different, your credit card details. All transactions on this page are on a secure source and no one else on the web can view them. Although most wines listed are in good quantities stocks of some wines are only of a few bottles.Please note before we debit your credit card we will e-mail or phone you to verify we are able to supply quantities ordered.

Wine & Vintage

Quantity Price

Total

Freight Costs

1-6 Bottles

7-12 bottles

Melbourne

$10.00

Free

otherVictoria

$10.00

$10.00

N.S.W.&S.A

$10.00

$16.00

Brisbane

$12.00

$19.00

Subtotal
Freight
Insurance
Total

For other areas of Australia and the rest of the World, we will notify you once we have your details.

 Insurance 1% of the value optional
Customer Information Delivery details if different

Name
Address
Suburb
State
Country
Postcode
Phone
E-mail
Card type VisaMastercardBankcard

Name
Address
Suburb
State
Country
Postcode
Phone
E-mail
I confirm I am over 18 years of age

Name on CardExpiry DateCard Number

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