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Coastal Spirits& Wine Events
Client Name
Phone
Email
Event Date
Planned Pick up Date
What type of product would you like?
Wine
Beer
Spirits
Non - Alcohol
Other
If you are serving a full bar, what type of spirits would you like to serve?
Whiskey
Vodka
Tequila
Rum
Gin
Other
Beer
(Budwiser | $10.00 CAD)
1
2
3
4
5
6
7
8
9
10
Wine
(Free)
1
2
3
4
5
6
7
8
9
10
Whiskey
($20.00 CAD)
1
2
3
4
5
6
7
8
9
10
Non - Acholic
Example
($225.00 CAD)
1
2
3
4
5
6
7
8
9
10
Example 1
($50.00 CAD)
1
2
3
4
5
6
7
8
9
10
Example 2
($25.00 CAD)
1
2
3
4
5
6
7
8
9
10
Product Name
(Free)
1
2
3
4
5
6
7
8
9
10
Product Name 1
(Free)
1
2
3
4
5
6
7
8
9
10
Product Name 2
(Free)
1
2
3
4
5
6
7
8
9
10
What type of beer would you like?
Domestic
Bottles
Key
Craft
Cans
Other
Will you be needing delivery?
Yes
No
Other
Additional Notes or Special Requests
Send
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