Mortimers of Orange Order Form

Mortimers Wines Order Form

LIQUOR ACT 1982

IT IS AN OFFENCE TO SELL OR SUPPLY TO OR TO OBTAIN LIQUOR ON BEHALF OF A PERSON UNDER THE AGE OF 18 YEARS.

Date of Birth dd/mm/yy: / /

The Wine

Quantity

Autumn Series Sauvignon Blanc

$16.50 per bottle

$198.00 per case

Autumn Series Chardonnay
Silver Medal
NSW Small Winemakers Show 2006

$16.50 per bottle

$198.00 per case

Autumn Series Shiraz
Bronze Medal
NSW Small Winemakers Show 2006

$18.50 per bottle

$222.00 per case

Autumn Series Cabernet Sauvignon

$16.50 per bottle

$198.00 per case

Pinot/Chardonnay Sparkling Cuvee

$25.00 per bottle

$300.00 per case

Premium Chestnut Garth
Sauvignon Blanc.

$25.00 per bottle

$300.00 per case

Chestnut Garth Premium Chardonnay
Bronze Medal
New Zealand International Wine Show 2007

$25.00 per bottle

$300.00 per case

Pinot Noir

$28.00 per bottle

$336.00 per case

Premium Black Label Shiraz
Bronze Medal
National Cool Climate Wine Show 2006

$28.00 per bottle

$336.00 per case

Premium Cabernet Sauvignon

$25.00 per bottle

$300.00 per case

Jules* Shiraz/Cabernet
Bronze Medal
New Zealand International Wine Show 2007

$46.00 per bottle

$552.00 per case

Note: add $20 for freight within NSW.

Name:

Street:

City: State: P/Code:

Phone Number:

Email address:

Payment Options: COD Cheque Visa Mastercard

Card Number: Expiry Date: /

Enter your payment, whole dollars only.