“Excellence in Accommodation, Food & Wine”

gourmet product order form

Your Name:*
Postal Address:
Postcode:
Country:
Telephone:*		Area Code:
Telephone 2:		Area Code:
Facsimile:
Email:*
Barossa gourmet slice		Quantity:
Panforte		Quantity:
Fig, giner and pistachio slice		Quantity:
Pear, date and walnut slice		Quantity:
Barossa apple chutney		Quantity:
Olives		Quantity:
Hot Barossa mustard		Quantity:
Red wine and garlic mustard		Quantity:
Additional requests or information:
Preferred Payment method:		credit card (Visa/Mastercard/AMEX) cheque/money order direct debit (account details will be emailed to you) We accept Mastercard, VISA and American Express
We will contact you to confirm availability and advise how to make payment.
* denotes required fields

 

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