JOIN THE CELLAR CLUB...

Joining the Cellar Club is easy. Simply complete the form below, click on the 'Submit' button, and we'll do the rest!

Send me a free 50-bottle "Trellis" wine rack! (Applicable to memberships with quarterly, three-times yearly, or twice yearly deliveries.)
Were you referred by a friend? If so, tell us who:
Name:
City:
State:	Victoria South Australia Western Australia Queensland New South Wales Northern Territory ACT Tasmania
1.  Choose a delivery frequency:
Quarterly, with 15% savings and free freight (Feb, May, Aug, Nov)
Three times a year, with 12% savings and free freight (Mar, July, Nov)
Twice a year, with 10% savings and free freight (Apr, Oct)
Once a year, with 7.5% savings and free freight (Dec)
2. Choose your dozen:
Premium Reds
Premium Whites
Mixed Premium Reds and Whites
Other: Please list quantities and varieties below... (note: April Classic White and April Classic Red are not available as Cellar Club selections.)
3. Provide your contact and delivery details:

Mr  Mrs Ms Dr Other
Name:	*
Company:
Occupation:
Mailing Address:	*
City:	*
State:	Victoria South Australia Western Australia Queensland New South Wales Northern Territory ACT Tasmania *	Postcode:		*
Daytime Phone:	() *
Evening Phone:	()
Fax:	()
Email:
Delivery Information:
Same as above,  or
Deliver to the address below:
Name:
Company:
Delivery Address:
City:
State:	Victoria South Australia Western Australia Queensland New South Wales Northern Territory ACT Tasmania	Postcode:
Daytime Phone:	()
Special Instructions: e.g. "Leave by front door if not home."
Payment Options:
Visa | Mastercard  | Bankcard  | Amex  | Diners
Card number: (omit dashes and spaces)
Expiry: January February March April May June July August September October November December   2005 2006 2007 2008 2009 2010 2011 2012
Name as appears on card:
First Delivery Options:

	Send my first Cellar Club delivery now, and the next dozen in my next scheduled Cellar Club month.
	(Quarterly deliveries come in February, May, August, November)
	(Three deliveries a year come in March, July, November)
	(Two deliveries a year come in April, October)
	(One delivery a year comes in December)
	Send my first Cellar Club dozen now and skip my my next scheduled Cellar Club delivery.

  

Killerby Vineyards Pty Ltd
Caves Road, Margaret River
1800-655-722 ph  1800-679-578 fax
grapevine@killerby.com.au