Tell us how to get in touch with you:

Date	Day    01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month   01 02 03 04 05 06 07 08 09 10 11 12 Year  2009 2010 2011 2012 2013 2014 2015
Address for Delivery
Name
Number and Street

Suburb	Post Code
Telephone for Contact

Credit Card Detials: Visa/Mastercard etc
Name as on card:
Number:
Expiry Date:

 

 

Please fill out the form below

ORDER

(dozen sales only – can be mixed)

Wine	Price/bottle incl GST	Quantity /bottles	Total
Shiraz 2005 . Silver medal Queensland Wine Awards	$17.00	0 1 2 3 4 5 6 7 8 9 10
Chardonnay Verdelho 2006 . Silver medal Australian Small Wine Makers 2006 Class 9 . Silver medal Australian Small Wine Makers 2007 Class 18 . Bronze medal Qld Wine Awards 2006 . Bronze medal Cairns Wine Show 2007 . Bronze medal Qld Wine Awards 2007	$17.00	0 1 2 3 4 5 6 7 8 9 10
Chardonnay Verdelho 2007 .Queensland Wine Awards 2007 Bronze . Australian Small Winemakers Class 18 2008 Bronze . New England Wine Show 2008 Bronze	$17.00	0 1 2 3 4 5 6 7 8 9 10
Shiraz 2006 . Bronze Qld Wine Awards 2007	$17.00	0 1 2 3 4 5 6 7 8 9 10
Shiraz 2007 . New England Wine Show 2008 Bronze . Queensland Wine Awards 2008 Bronze	$17.00	0 1 2 3 4 5 6 7 8 9 10
Samuel Bailey 2007 Australian Small Winemakers Class 44 2008 Bronze New England Wine Show 2008 Silver	$20.00	0 1 2 3 4 5 6 7 8 9 10

You will recieve an email back with the payment details and amount due.

 

Free delivery Brisbane area       + freight elsewhere

Contact Us

 

Ambar Hill Wines

364 Mount Stirling Rd                                                                                                        Fino Food

Glen Aplin Q 4381                                                                               Unit 1/57-59 Oxford St

Fax 07 38999410                                                                                                        Bulimba

Tel  07 46834195                                                                                               Brisbane Q 4171

Mobile 040931292                                                                                              Tel 07 38908089

e-mail: gldalton@bigpond.com                         

Please Print and Attach as an email and return to the email above or Fax to

07 38999410