Wine Fundraiser Order Form by xiaopangnv


									                                                                                                  Sunflower Foundation
                                                                                                 Wine Fundraiser June 2012
                                                                                          5 exclusive great value Sunflower wines helping to raise
                                                                        All orders attract a delivery fee per carton (see below) and will be
                                                                                   dispatched direct to you by Prospect Wines.
                                Deliveries are made by Australia Post. Please return this form direct to Prospect Wines
      Orders can be placed by fax 03-9877 1299, or by scanning & emailing to
                   or post to Prospect Wines Fundraising, 16 Apollo Ct, Blackburn. Vic. 3130
Please order a total of 1 dozen bottles or multiples of                                                                  Bottle               Dozen              Number
                                                                                                                                                                                        Total $
  dozens; you can make up your own mixed dozens                                                                          price                Price             of bottles
Bright, energetic and alive! This wine has all the aromas you expect from a classy                                      $13.00                $156
Marlborough with a delightful balance of cut grass and fresh tropical fruit. It has
delicate berry flavours and a crisp well balanced dry finish.
This Chardonnay from the alpine area of North East Victoria has aromas of peach and                                     $13.00                $156
melon with a soft creamy palate and a lingering finish.

3. MOSCATO 2011
A lively sweet wine with delicate passionfruit and pineapple flavours with muscat                                       $11.00                $132
characters. It is very light in alcohol and the gentle spritz gives an appealing lift.

This classic blend really shows why we love Margaret River; sweet initial fruit flavour                                 $13.00                $156
from the Merlot combine with the full body and dry finish of the Cabernet Sauvignon.

5. Hunter Valley CABERNET SAUVIGNON 2011
This Cabernet Sauvignon has a portion of Merlot blended in to give a smooth long                                        $13.00                $156
finish. It has aromas of ripe raspberries while the palate has hints of chocolate.

        Delivery charges per dozen:                                                                                                                     Wine Total $
        Victoria                   $8.00                      New South Wales                         $13.00
        Brisbane metro             $8.00                      Queensland country                      $13.00                                 Plus delivery fee $
        South Australia            $8.00                      Tasmania                                $16.00
        Perth                      $16.00                     W.A country                             $22.00                                          Grand Total $
        A.C.T.                     $8.00

Order Form to: Prospect Wines Blackburn
Please accept my order for these Sunflower Foundation wines.
I declare that I am over 18 years of age and agree with the following conditions:
1. That I am placing an order on Frivilla Pty Ltd trading as Prospect Wines Blackburn, holder of Victorian Packaged Liquor Licence No 32052079.
2. No obligation to sell or supply the goods will arise until the order is received and accepted at the licensed premises.
3. The applicable law for transactions for the purchase of wine from Prospect Wines is the law of the State of Victoria.
4. By placing an order with Prospect wines I accept that the ownership of and risk to the goods passes to the customer upon payment for the goods
and when the goods have been picked up by the customer, or delivered to the nominated address

Name: ___________________________________________                                  telephone: _____________________                     email ______________________________

Address: ____________________________________________________________________________________________                                                                 Postcode: ________

Delivery instructions:______________________________________________________________________________________________________
(if no-one home, goods will not be left without instructions eg leave on back verandah. Prospect Wines accept no responsibility for loss or damage to stock following your delivery instructions)


Credit Card Details for Sunflower Foundation Wine Fundraiser June 2012:

Name on card: _______________________________________________Card Type: Visa / Mastercard / Amex / Diners

Card no.: ______________________________________________Expiry Date: _____/_____ Total Amount: $ ________________

I authorize Prospect Wines to charge
the above amount to my credit card.                               Signed: ______________________________ Date: ___ /___ /___

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