Place orders by (i) Contact Dale Cooper on 0401 086 717 or
           Lee Evans    0438 661 273
(ii) Download and print this order form (pdf).
Complete and fax to Kurabana Estate (613) 5266 1116
(iii) Post to Kurabana Estate 580 Hendy Main Rd. Mt Moriac 3240
(iv) Complete the online order form below.
(Please Note: This is not a secure online order form)
Name
Delivery Address
p/c
Phone
Email
Credit Card Type
Name on Credit Card
Credit Card Number
Expiry Date
/ Amount to be Credited $
 
Signature

   
  Retail
Price		  
   
Kurabana Releases $ / Bottle Qty Total
Price
2004 Kurabana Pinot Gris $19.95  $ 
2004 Kurabana Rosé $17.95  $ 
2003 Kurabana Estate Pinot Noir $19.95  $ 
2004 Kurabana Reserve Pinot Noir $39.95  $ 
2004 Kurabana Shiraz $19.95  $ 
2005 Kurabana Chardonnay $19.95  $ 
2004 Kurabana Sparkling $25.95  $ 

 
2006 Mt Moriac Pinot Noir $17.95  $ 
2006 Mt Moriac Shiraz $17.95  $ 
2006 Mt Moriac Chardonnay $17.95  $ 
2008 Mt Moriac Pinot Gris
Available August 2008		 $17.95  $ 
 
 
2006 Shed Red $14.95  $ 
2005 Shed White $14.95  $ 
 
 

Gift Pack Combinations
Each Gift Pack includes
2 exclusive Kurabana
wine glasses.
Mt Moriac - Gift Pack $35.90  $ 
Shed Red - Gift Pack $29.90  $ 
Kurabana - Gift Pack $39.90  $ 
Kurabana Reserve - Gift Pack $64.95  $ 
TOTAL
 $ 
Less Cellar Club discount 15% (if applicable)
  $ 
Total after discount  $ 
Postage & Handling $7.50 (Melbourne Metro)  $ 
TOTAL
Please ensure this is the correct amount
as marked on your credit card details above
$