Order Form

Complete this form, print and fax or mail it directly to

Nga Waka Vineyard.
PO BOX 128, Martinborough
Phone/Fax 06 306 9832

Mail Order Form GST # 66 966 658
Name:
Address:
 
Delivery Instructions:
 
THE TOTAL NUMBER OF BOTTLES MUST BE A MULTIPLE OF SIX (6)
 
      Quantity Total $
 
Nga Waka
 
2004 Home Block Chardonnay $32 per bottle
2008 Chardonnay $22 per bottle
2006 Pinot Noir $42 per bottle
2003 Riesling $22 per bottle
2008 S. Blanc $22 per bottle
 
 
Three Paddles
 
2008 Pinot Noir $22 per bottle
2008 Riesling $17 per bottle
2008 Sauvignon Blanc $17 per bottle
 
Grand Total: $
  Check Quantity Update Total
 
Please make cheques payable to: Nga Waka Vineyard Ltd.
Please charge my Visa/Mastercard (NO AMEX, DINERS ETC) as below:
Name on Card:
Card Type & No:
Expiry Date:
 
Signature: ________________________________________________
 
ALL PRICES INCLUDE GST