Order Form - New Norcia Abbey Ale & Wines

Product (per bottle) Per case (1 dozen) Amount ordered Cost
Shiraz $29.90 $322.92 ......................... $........................
Cab Merlot $19.90 $214.92 ......................... $........................
Chardonnay $19.90 $214.92 ......................... $........................
Liqueur Muscat $21.90 $262.00 ......................... $........................
Port $18.90 $226.80 ......................... $........................
Abbey Ale   $80.00 (24) ......................... $........................
Abbey Ale 6pk $25.00   ......................... $........................
6pk Badged Glasses $25.00   ......................... $........................
Vintage Port $24.90 $268.90 ......................... $........................
  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: .........................................................................

......................................................................................................

.........................................................Postcode: .............................


Remittance Details

__ Cheque __ Bankcard __ Visa Card __ MasterCard

Credit Card Number __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Expiry Date: .............................. 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.wa.edu.au


WARNING

Under the Liquor Licensing Act 1988, it is an offence:

* to sell or supply liquor to a person under the age of 18 years n licensed or regulated premises; or
* for a person under the age of 18 years to purchase, or attempt to purchase, liquor on licensed or regulated premises.