Havill's Order Form
( N.Z. Only)
Surname
First Name
Contact Address
Telephone
Fax
Email
No. Required
Medium Mead
$15 per bottle
1
2
3
4
Summer Mead
$15 per bottle
1
2
3
4
Dry Mead
$15 per bottle
1
2
3
4
Discount for 1 dozen - only
Payment Details
Credit Card Number
Expiry Date
Amount of Payment