Kaipara Estate Order Form

Please print out and fax or post the completed form to:

Kaipara Estate Vineyards Ltd
PO Box 46064
Herne Bay
Auckland
NEW ZEALAND

Fax: (09) 376 7208

 NB. Minimum order 6 bottles

Name:
Delivery Address/Instructions

Postal Address
Phone Fax
Email
WINE DESCRIPTION QTY PRICE TOTAL $
Kaipara Estate Nine Lakes Chardonnay/Pinot Gris 2007   $18.95 bottle/case $210.00  
Kaipara Estate Syrah 2009   $18.95 bottle/case $210.00  
Monk Road Merlot/Cabernets/Malbec 2004   $14.95 bottle/case $150.00  
Monk Road Cabernet Sauvignon/Merlot 2004   $14.95 bottle/case $150.00  
Delivery $7.00
Total Enclosed  

*limited quantities available

Please make cheques payable to Kaipara Estate Vineyards Ltd

Thank you for your order


Kaipara Estate Use Only
Date in Order done Checked Payment