VIP PACKAGE ORDER FORM

Sandalford Wines - Sunday, 9 November 2008

Fields marked with an asterisk (*) are required.

Contact Details

Name*
Address*
Suburb*
State*
Postcode*
Phone (B/H)*
Phone (A/H)*
Email Address*

Ticket Requirements

Ticket Type Quantity
All inclusive VIP lunch & show
$299.00 ea (inc GST)

Postage Options

Registered Post ($4.00)
Regular Post (No Charge)

Registered Post is recommended. Sandalford Wines accepts no responsibility for lost tickets.

Payment Information

Please note that payment can be made by VISA, MasterCard, AMEX, Diners and JCB cards. Payment will not be deducted from your elected account until Sandalford has contacted you via email, phone or fax, to confirm both your order and any additional costs incurred. 2.5% Merchant Fees will apply with the use of American Express and Diners.

Name on Card*
Card Number*
Expiry Date (mm/yy)* /
CVC Number*
Last three digits on signature block