Welcome to Old Kent River Winery

OLD KENT RIVER

Premium Boutique Wines

To order online, fill in the form below, print out a copy for your own records and 'Submit' the form to Old Kent River Wines. Alternatively, you can print out the form and post a copy to:

Old Kent River
Rocky Gully
Western Australia 6397

or Fax it to us on +61 8 9855 1660

Online Order Form

NOTE: Fields marked with an asterisk (*) must be completed.

*Name:

*Email:

Phone No:

	Quantity	Price (ea.)
2007 Sauvignon Blanc		$ 16.20
2002 Chardonnay		$ 18.00
2005 Diamondtina (released 1st Dec, 2007)		$ 30.00
2004 Pinot Noir		$ 22.00
2004 Burls (Reserve Pinot Noir)		$ 45.00
2005 Shiraz		$ 16.20
2007 Backtrack Chardonnay		$ 16.20
2004 Backtrack Shiraz		$ 15.00
These prices are inclusive of a 10% discount — mixed cases can be ordered. NB: Freight charges will be an additional cost and will show on your account. Freight charges are as follows: Western Australia — $10.00 Interstate Metro — $18.00 Interstate Country — $20.00	Total Price $:

Comments, special instructions or other enquiries:

We will contact you to arrange payment. Please DO NOT supply credit card details with this form:

Old Kent River is committed to protecting your privacy. All personal information entered in this form will not be shared with or passed on to any other third party.