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    ONLINE ORDER FORM        
    Please note that wines are sold in six bottle cases. Please feel free to mix and match wines within a case. All prices are inclusive of 14% VAT. Sale of wines are subject to availability. Orders of 12 bottles or more are delivered free of charge. Email enquiries to wine@lazanou.co.za  
       
    Step 1: Place your order  
    WINE   BOTTLES PRICE / BOTTLE AMOUNT  
    Chenin Blanc-Chardonnay-Viognier blend 2010 R 60.00
    Chardonnay 2011 R 70.00
    Chenin Blanc 2011 R 80.00
    Viognier 2011 R 80.00
    Syrah-Mourvedre 2009 R 90.00
    Syrah 2008 R 120.00
             
    Your wine order consists of case(s) with bottles Sub-Total  
    Orders of 12 bottles or more are delivered free of charge.  
    Step 2: Select the delivery area  
    DELIVERY COSTS         FIRST CASE ADDITIONAL CASE(S)  
    1
    2
    3
    		Cape Town and environments R 60.00 R 20.00  
    Main Centre (Johannesburg, Pretoria, Durban, East London, Port Elizabeth, George) R 100.00 R 47.00  
    Regional Area (Any area outside 50km but within 250km of a Main Centre) R 126.00 R 60.00  
                Sub-Total  
                       
    GRAND TOTAL  
    Step 3: Complete your personal details and the delivery address  
    PERSONAL DETAILS   DELIVERY ADDRESS :  
    Name and Surname*
    		Contact Person*
    Postal Address*
    		Address*
    Code*
    		Code*
    Landline
    		Landline*
    Mobile*
    		Mobile*
    Fax
    E-mail**
    Retype E-mail**
    * Required fields ** Form will not be processed without a valid E-mail  
    Step 4: Process your order  
    After submitting your order Lazanou will mail you an invoice with EFT details.