Payment Information

Credit Card & Direct Deposit:

Simply fill out your order and submit it online, then either give us a call, or we will contact you to confirm and arrange payment.

BSB: 082 774
Account Number 561164291

Cheque:

Simply fill out the order form and send off a cheque for the total to us at the following address:

Address

Word of Mouth Wines
790 Pinnacle rd
P.O. box 488
Orange, NSW 2800
(02) 6365 3509 (Office)
(02) 6365 3509 (Fax)
0429 653 316 (Mob)

Lic. No: 24007384

Order Form

Contact Details
*Note: Fields marked with are required**
First Name:	*
Last Name:	*
Delivery Address:	*
Town / Suburb:	*
Post Code:	*
State:	*
Phone:	*
Fax:
Email:	*
Wine Choices	Quantity
WOM Sauvignon Blanc 2009	bottle \| $25.00: case \| $300.00:
WOM Pinot Grigio 2010	bottle \| $25.00: case \| $300.00:
WOM Riesling 2009	bottle \| $23.00: case \| $276.00:
WOM Sweet Milli 2009	bottle \| $15.00: case \| $180.00:
WOM Viognier 2008	bottle \| $23.00: case \| $276.00:
WOM Pinot Noir 2007	bottle \| $25.00: case \| $300.00:
Simply Cool Red 2005	bottle \| $23.00: case \| $276.00:
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Please Note: You must be at least 18 years of age to order