Brokenwood Single Vineyard Club

Please note: A minimum of 6 x 6 packs of Single Vineyard Wines must be selected and delivered annually (pricing includes the 17.5% discount). Cancellation of membership MUST be in writing

Single Vineyard Whites Region Debit &
delivery
date		 6
pack
price**		 Number of
six packs
2005 Maxwell Vineyard Semillon Hunter Valley, NSW February 2010 $178.20
2005 IV-BC76 Chardonnay Beechworth, VIC March 2010 $198.00
2009 Forest Edge Vineyard Sauvignon Blanc Orange, NSW April 2010 $123.75
2008 'Sticky Wicket' Dessert Wine (12x375ml pack) Cowra, NSW April 2010 $297.00
2009 Forest Edge Vineyard Chardonnay Orange, NSW July 2010 $148.50
2005 ILR Reserve Semillon Hunter Valley NSW October 2010 $222.75
Single Vineyard Reds Region Debit &
delivery
date		 6
pack
price**		 Number of
six packs
2005 IV-DC 114/115 Pinot Noir Beechworth, VIC May 2010 $247.50
2008 Indigo Vineyard Shiraz Beechworth, VIC June 2010 $247.50
2009 Verona Vineyard Shiraz Hunter Valley, NSW August 2010 $247.50
2008 Wade Block 2 Vineyard Shiraz McLaren Vale, SA September 2010 $222.75

Your membership details:

First Name•

 Last Name•
Postal Address•
City/Town•

 State•
Postcode•

 Country•

Phone•

 Mobile
Email Address

 Fax
Delivery Address (e.g. if different from postal address)
Delivery Instructions (e.g. if not at home leave...)

(transport company will not telephone before delivery)
Date of Birth•

Brokenwood Wines Pty Ltd. ABN 146 118 234 425. Liquor Licence No. 701880. (Liquor Act 1982 - It is an offence to sell or supply to or to obtain liquor on behalf of a person under the age of 18 years.)
I understand my credit card will be debited according to the delivery of my selection on an annual basis•. Brokenwood Wines will contact the cardholder prior to despatch of the order to confirm payment and identification details.
Please Note: **6 pack pricing subject to change.


How did you learn of the Single Vineyard Club? •

Tasting at Please indicate where
Cellar Door
Internet
Other Please indicate where

Payment details:

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Expiry Date•
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