2004 Vintage Order Form                                
Please enter your order details and then print and Post with Payment cheque.
NOTE: All prices in $NZ ..... For International Orders, please contact wine@kingsley.co.nz

Date
Name 
Delivery  Address
Mailing  Address
Delivery Instructions
Phone  Number
Fax  Number
e-Mail  Address
Gimblett Road Reserve
2004		      Cases@ $426.00
Order  Total $ 


Make cheques payable to: Brenmar Ltd
PO Box 1100, Hastings, New Zealand.
Ph; (021) 846 392     E-mail; wine@kingsley.co.nz