Your Full Name:* First Last Address (Street/POBox):* Street Address City State Postcode Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Preferred Phone Number:*Email Address:* I'd like to:*Make a one-off purchaseSign up to the Oliver's Wine Exchange ClubOne-off purchaseSelect the pack(s) you would like to purchase:* [Staple Shiraz] – Oliver’s Taranga Shiraz Pack $422 AUD including freight. [Tastes of Taranga] – Shiraz & Reserve Sampler Pack $456 AUD including freight. [Tried & Tested] – HJ Reserve Shiraz Pack $626 AUD including freight. [Tried & Tested] – Reserve Mix Pack $626 AUD including freight. [Iconic Oliver’s] – M53 Shiraz Six Pack Currently Unavailable [Moreish Moscato] – Oliver’s Taranga Moscato Pack $326 AUD including freight. [The Banished] – Fortified Grenache Six Pack $366 AUD including freight. Select the club pack you would like to receive:*[Staple Shiraz] – Oliver’s Taranga Shiraz Pack $422 AUD with free freight, 1 dozen delivered biannually.[Tastes of Taranga] – Shiraz & Reserve Sampler Pack $456 AUD with free freight, 1 dozen delivered biannually.[Tried & Tested] – HJ Reserve Shiraz Pack $626 AUD with free freight, 1 dozen delivered biannually.[Tried & Tested] – Reserve Mix Pack $626 AUD with free freight, 1 dozen delivered biannually.[Iconic Oliver’s] – M53 Shiraz Six Pack Currently Unavailable[Moreish Moscato] – Oliver’s Taranga Moscato Pack $326 AUD with free freight, 1 dozen delivered biannually.[The Banished] – Fortified Grenache Six Pack $366 AUD with free freight, 1 six pack delivered biannually.Comments / Questions:This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes. Credit Card* American ExpressMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Security Code Cardholder Name Declaration I subscribe to be an Oliver’s Wine Exchange Club member. I understand the obligations of the Oliver’s Wine Exchange Club membership and seek to have the selected number of wines sent to an address nominated by myself bi-annually or until I cancel my membership by email or in writing. These orders are not to be purchased for resale by a liquor licensed person or their representative. Liquor Act 2007 – It is an offence to sell or supply to or obtain liquor on behalf of a person under the age of 18 years.Authorisation* I authorise Oliver’s Taranga Vineyards to debit my credit card with the appropriate sum on dispatch of wine. EmailThis field is for validation purposes and should be left unchanged.