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ADDITIONAL INFORMATION:

By filling in the optional information below, you will be automatically entered into this month's subscribers competition to win wine and other great prizes*.

Please ensure you provide correct contact details, including your postal address and phone number. If these are incomplete we regret that you will not be able to receive prizes should you enter our competitions.

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Title *
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Postal Address Line 2
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Mobile Phone * Please provide at least one number below:
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Preferred Contact Method: *
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I was born between: *
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Wine Preferences: *
I prefer the following wine (select main preference):
Wine Preferences:
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Wine price: *
What is the average price per bottle you pay for wine (in Australian $; A$1 approx = US $0.71 or 0.65 Euro)
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