PILA KAVA MEMBER ORDER FORM
  • Store pick up orders will be available on Thursdays, Fridays, and Saturdays from 5-9pm.
  • Your pick up location: Sac Made Studios | 3519 Broadway Sacramento Ca
  • We will message you to confirm that it is ready for pick up. 
  • FREE delivery information is below
***new membership sign ups currently unavailable


Email *
Which membership do you have? *
Name associated with your membership: *
If you'd like to order more than 8 bottles of a certain flavor, please note it here:
The Island Flight 
$24 for members ($1 off)
-Hawaii ($3)
-Lemon Drop ($3)
-Meditation ($3), 
-Sunset Kiss ($3)
-Peach Paradise ($3), 
-Straight Bliss ($10) 
+$7.50 for honey option
1
2
3
4
5
6
Cane Sugar
Honey (+ $7.50)
No Sweetener
Clear selection
Hawaii (Caffeinated) 
$3 for members | Honey + $1.50
1
2
3
4
5
6
7
8
Cane Sugar
Honey (+$1.50 per bottle)
No Sweetener
Clear selection
Lemon Drop (Non-Caffeinated)
$3 for members | Honey + $1.50
1
2
3
4
5
6
7
8
Cane Sugar
Honey (+ $1.50 per bottle)
No Sweetener
Clear selection
Meditation (Non-Caffeinated)
$3 for members | Honey + $1.50
1
2
3
4
5
6
7
8
Cane Sugar
Honey (+ $1.50 per bottle)
No Sweetener
Clear selection
Sunset Kiss (Non-Caffeinated)
$3 for members | Honey + $1.50
1
2
3
4
5
6
7
8
Cane Sugar
Honey (+ $1.50 per bottle)
No Sweetener
Clear selection
Peach Paradise (Non-Caffeinated) 
$3 for members | Honey + $1.50
1
2
3
4
5
6
7
8
Cane Sugar
Honey (+$1.50 per bottle)
No Sweetener
Clear selection
Need X-TRA STRENGTH?
Lemon Drop MAX (Non-Caffeinated & Double Strength)
$6 for members | Honey + $1.50
1
2
3
4
5
6
7
8
Cane Sugar
Honey (+ $1.50 per bottle)
No Sweetener
Clear selection
Sunset Kiss MAX (Non-Caffeinated & Double Strength)
$6 for members | Honey + $1.50
1
2
3
4
5
6
7
8
Cane Sugar
Honey (+ $1.50 per bottle)
No Sweetener
Clear selection
Straight Bliss (Concentrated Kava)
$10 for members
How you'd like to receive your order: *
If you picked the FREE delivery option, provide the address for delivery (Fridays 3pm - 4:45pm):
Email for your invoice to be sent *
Best contact information to notify you when your order is ready: *
THANK YOU! Your invoice will be sent by the end of today
Your invoice will reflect your membership price, must be paid ASAP to gaurantee your order
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report