Honeytree Order form

Honeytree Estate Order form

	Cost per case	Amount of cases	Total cost
2006 Veronica Semillon	$180
2003 Shiraz	$300
2004 Paul Alexander Shiraz	$300
2005 Cabernet Sauvignon	$300
2005 Special Reserve	$20 per bottle (375 ml)
2004 Vindouce	$240
*All of the above wines may be purchased as a mixed case
		Total Cost

Payment Details

Please find enclosed my cheque amounting to: $.....................................................................

Please debit my Mastercard/Bankcard/Visa Account/American Express card: $....................

Cardholder’s Name: ............................................................................................................

Cardholder’s Address: .........................................................................................................

Cardholder’s Signature: ........................................................................................................

Dates Valid From: ............................................TO..............................................................

Delivery Instructions:

Name: ..................................................................................................................................

Address: ..............................................................................................................................

E-mail: .................................................................................................................................