Ordering Ma Beattie's Cordials

Print this order form, fill in your order and fax or mail to the address below.

Name:_____________________________________________________________

Address:___________________________________________________________

Suburb:____________________________________________________________

State:_________________ Postcode:_________

Phone No:__________________ Email:__________________________________

Please debit my Credit Card:

____ ____ ____ ____ Expiry Date:__/__

Name on Card: _____________________________________________________

or

Please find enclosed Cheque / Money Order for amount: $

Flavour	Bottle Quantity	Total
Ginger Beer
Bitters Lemon Lime
Passionfruit
Raspberry Vinegar
Portello
Sasparilla
Lemon
Lime
Orange/Mango
Chocolate/Orange
Chilli/Lime
Freight	Carton of 12 bottles:  Freight Free within Australia. Less than 12 bottles: Freight - NSW ACT & VIC $10, QLD & SA $15, TAS $20, WA $25, NT $35
All flavours, per 750ml bottle: $10.00	Total

For direct deposit payment please pay into Account name: Tisara (Australia) Pty Ltd
BSB NUMBER: 082691         Account NUMBER: 018714749

Wholesale enquiries welcome.

Ma Beattie's Cordials
5 Green Street
Morpeth NSW 2321
Phone: (02) 4933 1407
Fax: (02) 4934 2107
Email: info@morpethgallery.com