Bottle Submission - Cellar Vault

BOTTLE SUBMISSION DOCUMENT

Consigning to:

Liquid Gold Ventures Pty Ltd

2/31 Makland Drive,
Derrimut, 3026 VIC.

P:+61 421 748 480

ABN:60 673 011 151

Date:

Name:

Address:

Suburb:

Postcode:

State:

Phone No:

Email:

Product	Age	ABV %	Qty	Reserve Price
	If not Known select 0			If no Reserve select 0

Direct Deposit Details:

BSB:

ACC#:

Account Name:

To the best of my knowledge, all duties and taxes have been paid on the above bottles.

Signature

Name

Date

*Typing your name on the signature line on this form will be considered an electronic signature

I confirm that all the information provided is accurate

*Please note that we will pay the selling proceeds into the bank account provided by you on this form after deducting the associated fees. Full details in the Selling Guide on our website.

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BOTTLE SUBMISSION DOCUMENT

Liquid Gold Ventures Pty Ltd

Direct Deposit Details:

NEVER MISS A BOTTLE

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