DOWNING ESTATE WINERY - WINE ORDER FORM  
 
Please Select Your Wine(s):
Size:
Price:
Quantity:
2000 HEATHCOTE MERLOT: SOLD OUT 6 Bottle Case $228.00 per case _________
2001 HEATHCOTE SHIRAZ: 6 Bottle Case $228.00 per case _________
2000 CABERNET SAUVIGNON: SOLD OUT 6 Bottle Case $228.00 per case _________

*Please Note:
Postage will be added to your order:
- $8.50 for postage per case - Melbourne Metro
- $10.00 for postage per case - Victoria (rest)
- $12.00 for postage per case - Other States
- Second and subsequent case free of freight costs.
Please Note: Prices & Postage are subject to alteration

Billing Information (Please print very carefully):
Name on Card:____________________________________________________________________
Card Type:       Visa___     Mastercard___     BANKCARD___
Card Number:____________________________________________________________________
Expiration Date (mm/yy)__________________________________________________________
Billing Address:__________________________________________________________________
Billing City, State & Post Code:____________________________________________________
Billing Telephone & Email:_________________________________________________________

Shipping information (If different from billing information):
First name:       __________________________________________________________________
Last name:        __________________________________________________________________
Address:            __________________________________________________________________
City, State & Post Code:   ________________________________________________________________
Telephone & Email: _______________________________________________________________

Please fax this form to:  03 5433 3389   - Call us with any questions: 03 5433 3387