www.conroyremovals.com.au 
                                                                                                                                               ABN 89 011 015 231 
                                                                   
                                                                   
          
          
               SPIRITS AND LIQUOR INVENTORY                                                                                                                             Reference Number:   
                                As required by Australia Customs Services 
         PLEASE NOTE: Importing alcohol is very expensive.  Charges can be approximately 50% of the declared valued in wine ( Duty; GST; & Wine 
         Equalization Tax) and up to 150% on any hard liquor. 
          
         Failure to complete any of the information below will lead to delays in the clearance of your shipment. You MUST  complete all columns. 
          
           Number                                                                                                                                                   Alcohol By                   How full if not                  Purchase 
               of                   Make/Brand:                         Description:                Size of Bottle:            Country of Make:                       Volume:                     100% (Open)                        Price: 
                                  (eg Johnnie Walker)               (Eg Scotch/Whiskey etc)         (eg 750 ml or 26 oz)                                            (eg 13% or 37% 
           Bottles:                                                                                                                                                     ALC/Vol)               (eg ½ Bottle / ¾ Bottle)        (Estimate in $Aus) 
                                                                                                                                                                                                                               
                                                                                                                                                                                                                               
                                                                                                                                                                                                                               
                                                                                                                                                                                                                               
                                                                                                                                                                                                                               
                                                                                                                                                                                                                               
                                                                                                                                                                                                                               
                                                                                                                                                                                                                               
                                                                                                                                                                                                                               
                                                                                                                                                                                                                               
                                                                                                                                                                                                                               
                                                                                                                                                                                                                               
                                                                                                                                                                                                                               
          
         Name in Full:                                                                              Signature:                                                                                      Date: 
                                                                                                                                                                                                     
         G:\Forms Register\International\Alcohol Listing Form.doc