Order Form

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Customer Details

Winery Name *

Contact Name *

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Email Address *

PO Number

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Approval

Billon Approval

Damy Approval

European Coopers Approval

Schneckenleitner Approval

Canadell Approval

Amphora, Eggs, Concrete Approval

Tonnellerie Billon

Made in Beaune, France. Fruit purity, oak lift and an elongated finish.

Billon Quantity

Size

Oak Selection

Toast Level

Seasoning

Options

Billon Subtil +€Head Toast +€Black Hoops +€

Early / Late

Price Level

Price

Requested Delivery

DDP Terms

Adel Ship Via

Melb Ship Via

Hunter Ship Via

WA Ship Via

Delivery to be added

Private Container Notes

Additional Comments

Tonnellerie Damy

Made in Meursault, France. Vanilla spice, roundness and mid palate weight.

Damy Quantity

Size

Oak Selection

Toast Level

Seasoning

Options

Delicat +€Head Toast +€Black Hoops +€

Early / Late

Price Level

Price

Requested Delivery

DDP Terms

Adel Ship Via

Melb Ship Via

Hunter Ship Via

WA Ship Via

Delivery to be added

Private Container Notes

Additional Comments

European Coopers Hungary

Made in Hungary. 100% Hungarian oak - Spice, brioche, toasted nuts.

Quantity

Size

Oak Selection

Toast Level

Seasoning

Price Level

Price

Requested Delivery

DDP Terms

Adel Ship Via

Melb Ship Via

Hunter Ship Via

Delivery to be added

Private Container Notes

Additional Comments

Schneckenleitner Austria

Made in Austria. 100% Austrian Oak - Elegance, finesse, savoury spice and bramble.

Quantity

Size

Oak Selection

Toast Level

Price

Requested Delivery

DDP Terms

Ship Via

Delivery to be added

Private Container Notes

Additional Comments

For large format Cask orders, please contact our office.

Stencilling Requirements

Logo or Stencilling Required (custom orders)

Logo or Stencilling Upload

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Additional Comments

Canadell French Oak Alternatives

Made in Southern France. 100% French Oak premium cooperage grade.

Quantity

Oak Selection

Chips Toast

Dominoes Toast

Staves Toast

Price Level

Price

Requested Delivery

DDP Terms

Ship Via

Delivery to be added

Private Container Notes

Additional Comments

Please send me a Canadell Bench Trial sample pack

Amphora, Eggs and Concrete Tanks

Tava Ceramic Amphora, Drunk Turtle Cocciopesto Eggs, CLC Concrete Tanks & Egginox Stainless Steel

Supplier

Vessel Name / Size

Quantity

Price

Options

Additional Information

Please contact us for more information, availability, and specifications for custom orders.

Delivery Details

Requested Delivery DateContainer dependent, we will do our best to accommodate

Delivery Options (SA)

Delivery Options (VIC)

Delivery Options (TAS)

Delivery Options (NSW)

Delivery Options (WA)

Nominated Transport Company

Delivery Information

Per previous yearEnter delivery detailsWill Call (We will call you on arrival)

Delivery Address

Street address

City

State

Postcode

Contact Name

Phone Number

Email Address

Delivery Instructions

Billing Details & Credit Application

Billing Details

Enter DetailsPer previousI am planning to finance

Contact Name

Phone Number

Email Address

Billing Address

Street address

City

State

Postcode

Credit Application for 30 Day Terms (New Customers Only)

ABN

Trade Reference 1

Company Name

Contact Name & Phone

Account Number and / or Account Terms

Time Account Held

Trade Reference 2

Company Name

Contact Name & Phone

Account Name & Number

Time Account Held

Trade Reference 3

Company Name

Contact Name & Number

Account Name & Number

Time Account Held

Order Confirmation

Send Order Confirmation to:

MyselfBill To ContactOther

eSign Name

eSign Email Address

Additional Comments

An Order Confirmation with pricing will be sent shortly for your approval, please allow 24-48 hours for us to process.

Once received, please sign promptly as your order will not be sent to the coopers until signed.

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