By LISC
August 14 2002
WINE PRE-ORDER FORM
LONDON IRISH SUPPORTERS CLUB
9 November 2002
NAME:______________________ Company______________________
TABLE No__________________________
Champagne & Sparkling Wine Quantity Reqd
Duc de Chapell (sparkling wine) £15.00 ..
Duval Leroy £33.50 ..
White Wines
Le Vieux Clocher House wine £13.00
Semillion Chardonnay (Aus) £16.00
Fume Blanc (South African) £18.80
Sancerre (Loire Valley) £21.80
Montagny (Burgandy) £24.80
Red Wines
Le Vieux Clocher House wine £13.00
Shiraz Cabernet (Aus) £16.20
Pinotage (South African) £16.80
Hautes Cotes de Beaune (Burgandy) £21.30
Chateaux Haut Brisey (Bordeaux) £22.90
Port
Taylors LBV £35.00
Mineral Water (Still or Sparkling) £ 3.00
Orange Juice per litre £ 3.00
PRE ORDERS TO BE RECEIVED BY 2nd November 2002
Method of Payment: VISA//ACCESS/MASTERCARD/AMERICAN EXPRESS
CARD No: .. EXPIRY DATE /
SIGNATURE . NAME (In Capitals) ..
Please return this form NO LATER THAN 5 working days prior to the event
To: Wayne Spicer, Royal Berkshire Conference Centre
Fax Number 0118 968 1334