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Email *
First Name *
Last Name *
Billing Address *
City *
State *
Zipcode *
Phone Number *
Would you like to pick up your order or should we deliver it to you? *
When would you like your order to be ready? *
Is this a one time order or would you prefer us to contact you about replenishing your order?
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What types of wine(s) would you like?
What price range per bottle would you prefer?
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Are you pairing with food? If yes please let us know what you are having below
What type of spirits would you like? *Select all that apply. Use the “other” field to indicate other spirit requests.
What price range per bottle would you prefer?
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What quality liquor do you prefer?
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What type of beer do you prefer?
Any specific beer requests? (breweries, styles, specific beers, price range, etc.)
Do you need ice?
Do you need mixers? (Margarita mix, club soda, tonic, etc.)
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