Please enable JavaScript in your browser to complete this form.Naam/Name *Van/Surname *ATKV Lid Nommer/Membership Number *Adres/Address *Aflewering Adres/Delivery Address *Poskode/Postal Code *Kontak Nommer/Contact Number *Epos/Email *Hoeveel Kiste/How Many Cases (6 x 750ml) *012345678910+Totale Prys/Total Price (R450 per kis van 6/R450 per case of 6) *NOTA/NOTE:Klik Hier/Click Here *Bepalings en Voorwaardes/Terms and ConditionsDeur hierdie blokkie te klik stem ek saam dat ek ouer as 18 jaar is en dat ek die "Privaatheidsbelied" gelees het en toestemming tot die gegewe inligting wat deur Frater Family Wines gebruik moet word om lede te kontak. By ticking this box I agree that I am 18 years old and legal of age and I have read the "Privacy Policy" and consent to the given information to be used by Frater Family Wine to contact members. Stuur/Send FREE TRANSPORT! Payment Options: 1. Direct Internet transfers: orders will only despatch from the farm once proof of payment has been faxed or emailed.2. Manual Bank deposits: orders will only despatch from the farm once proof of payment has been faxed or emailed. Banking Details: Account Name: DZI Agricultural InvestmentsAccount Type: FNB Cheque AccountBranch Code: 200110Account Number: 62087458165