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
2011 Forest Edge Vineyard Chardonnay Orange, NSW February 2012 $158.40
2008 IV-BC 76 Chardonnay (exclusive to SVC) Beechworth, VIC March 2012 (until sold out) $222.75
2007 Stanleigh Park Vineyard Semillon Hunter Valley, NSW April 2012 $222.75
2011 Indigo Vineyard Chardonnay Beechworth, VIC May 2012 $158.40
2012 Forest Edge Vineyard Sauvignon Blanc Orange, NSW September 2012 $123.75
2006 Maxwell Vineyard Semillon Hunter Valley, NSW October 2012 $222.75
Single Vineyard Reds Region Debit &
delivery
date		 6
pack
price**		 Number of
six packs
2008 IV-DC 114/115 Pinot Noir (exclusive to SVC) Beechworth, VIC March 2012 (until sold out) $272.25
2010 Mistress Block Vineyard Shiraz Hunter Valley, NSW April 2012 $321.75
2010 Quail Shiraz Hunter Valley, NSW & McLaren Vale, SA June 2012 $470.25
2011 Forest Edge Vineyard Pinot Noir Orange, NSW July 2012 $188.10
2010 Wade Block 2 Vineyard Shiraz McLaren Vale, SA August 2012 $237.60
2011 Indigo Vineyard Shiraz Beechworth, VIC October 2012 $272.25

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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 Number•
Expiry Date•
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