Barrels and Beyond Membership Form
In line with the Data Privacy Act of the Philippines, the personal data obtained from this form will only be accessed by a Barrels and Beyond authorized personnel. It will not be shared outside for purposes outside Barrels and Beyond.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name
Date of Birth *
MM
/
DD
/
YYYY
Mobile Number *
Delivery Address *
Email *
Membership Type *
Wine Preference
This section is primarily for recommendations or events planning, and not really to discriminate anyone.
Category *
Required
Wine Region *
Body *
Light
Bold
Sweetness *
Dry
Sweet
Tannins/Bitterness *
Medium-Low
High
Acidity *
Light
Sharp/Spicy
Would you also be interested in our other products (e.g. liquors, craft beers, coffee and other non-alcoholic drinks)? If yes, please let us know what interests you.
Additional Notes/Comments
Payment Details
You may pay through any of the following:
:: Bank deposit/transfer to Bank of the Philippine Islands (BPI), Savings Account 0646-4682-07 (Karen Nina Alvarez)
:: Gcash transfer to 09664657299 (Karen Nina Alvarez)

Please send proof of payment through any of the following:
:: Viber 09664657299
:: Email barrelsandbeyondph@gmail.com (Subject: Membership Payment)
:: Facebook Messenger -- facebook account fb.com/barrelsandbeyondph
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms