Place orders by (i) Contact Dale Cooper on 0401 086 717
(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		  
   
Releases $ / Bottle Qty Total
Price
Kai Opua Outrigger Wines    
2005 Outrigger Pinot Gris $15.95  $ 
2005 Outrigger Chardonnay $15.95  $ 
2004 Outrigger Rosé $15.95  $ 
2004 Outrigger Pinot Noir $15.95  $ 
2004 Outrigger Shiraz $15.95  $ 
2004 Kurabana Blanc de Noir
(traditonal method sparkling)		 $25.95  $ 
2003 Kurabana Pinot Gris $19.95  $ 
2004 Kurabana Rosé $17.95  $ 
2004 Kurabana Chardonnay $24.95  $ 
2003 Kurabana Estate Pinot Noir $22.95  $ 
2002 Kurabana Reserve Pinot Noir Sold Out  $ 
2003 Kurabana Shiraz $23.95  $ 

 
2005 Mt Moriac Pinot Gris $15.95  $ 
2005 Mt Moriac Chardonnay $15.95  $ 
2005 Mt Moriac Pinot Noir $15.95  $ 
2004 Mt Moriac Shiraz $15.95  $ 
 
 
2005 Shed White - sem, sav/blanc $14.95  $ 
2004 Shed Red - Pinot Noir $14.95  $ 
 
 

TOTAL
 $ 
Postage & Handling $7.50 (Melbourne Metro)  $ 
TOTAL
Please ensure this is the correct amount
as marked on your credit card details above
$
  
*** Exclusive to Kai Opua Outriggers - purchase one dozen mixed or straight from current release wines and recieve a free bottle of Kurabana Rosé.***
Remember Kurabana will donate funds to Kai Opua outriggers for all wine orders recieved from outriggers and associates. To help raise funds, simply return the order form to Kurabana or order via the Kurabana and outrigger websites.