Order Form

Please print out your copy of this form by clicking on the "Print" button on the task bar
or by selecting "Print" under the "File" menu.
Please make sure that all sections of this form are filled out correctly.
Make sure to circle the freight charge that applies to you (see prices on the
mail order page,country Victoria charged at Melbourne rate).
There is an example on how to fill out the "Order" section below.

Then mail your completed form, Cheque or Money-Order to:
Sandy Farm Winery
99 Sandy Farm Rd.
Denver via Daylesford
Vic 3461

Mail Order To:

Phone Numbers
Business:	After Hours:

Email:

Mail Order To:

Product	No. of Cases	Price	Total
Cabernet Merlot 2007 Pinot 2007 Freight	= = =	x $200 x $200 x $15 ~ $35 ~ $20 ~ $30	= = =
			Total: