Order Form

Complete this form, print and fax or mail it directly to

Nga Waka Vineyard.
PO BOX 128, Martinborough
Phone/Fax 06 306 9832

Mail Order Form GST # 66 966 658
Name:
Address:
 
Delivery Instructions:
 
      No. of Cases Total $
2000 Chardonnay 12 bottles $396/case
  6 bottles $198/case
 
2000 Pinot Noir 6 bottles $240/case
(Limit of 6 bottles per order)
 
2000 Riesling 12 bottles $276/case
  6 bottles $138/case
 
2001 S. Blanc 12 bottles $276/case
  6 bottles $138/case
 
For mixed full or ½ cases please specify: Bottles Total $
2000 Chardonnay per bottle $33
 
2000 Pinot Noir per bottle $40
(limit of 6 bottles per order)    
 
2000 Riesling per bottle $23
 
2001 S. Blanc per bottle $23
 
Grand Total:  
 
Please make cheques payable to: Nga Waka Vineyard Ltd.
Please charge my Visa/Mastercard (NO AMEX, DINERS ETC) as below:
Name on Card:
Card Type & No:
Expiry Date:
 
Signature: ________________________________________________
 
ALL PRICES INCLUDE GST