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CELTIC ORGANIC WINERY - Bio-Gro Certified

ORDER FORM - Minimum order 1 dz. (Free shipping in NZ). GST incl.

 

2001 Green Ginger Wine
 Bottles @ $15 each = $
2000 Black Doris Wine Bottles @ $15 each = $
2000 Braeburn Wine Bottles @ $12 each = $
2001 Merlins Brew Bottles @ $12 each = $
1999 Celtic Mead Bottles @ $20 each = $
2001 Omega Port Bottles @ $20 each = $
2001 Celtic Cider Bottles @ $10 each = $
2002 Feijoa Wine Bottles @ $18 each = $
    Total = $

Your name, address and ph/fax numbers.

METHOD OF PAYMENT. Note: if you do not wish to transmit your credit card information via E-Mail, please telephone (06) 3684465 or Fax (06) 3670080 (print this page) with these details. MAKE CHECKS PAYABLE TO Celtic Organic Winery. SEND TO - 324 Hokio Bch Rd. Levin

Credit Card Information

visa master card diners cheque

card number

name on card

expiry date

email * Required - -

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