Golden Age Kombucha Growler Subscription Program

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This program is a sliding scale kombucha growler delivery and pick-up service. Golden Age Kombucha is offering growlers to the people of Portland, Oregon on a sliding scale. If you are interested in signing up for this program, please complete the form below. During the Coronavirus (COVID-19), Golden Age plans to provide probiotics and kombucha to those in need. Please stay home if you are sick.

What is your first/ last name?

What part of the city are you located in?

Northeast

Southeast

Southwest

Northwest

North Portland

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Would you like your growlers delivered?

Yes I would like delivery

No. I'd like to pick them up from Dick's Kitchen Primal Burger in Woodstock by appointment

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Which growler subscription interests you? Growlers are 64oz and growlettes are 32 oz

1 growler fill delivered to your home for $14-$16 sliding scale

2 or more growlers at a time delivered for $13 a growler fill

1 growlette fill delivered to your home for $7-$8 sliding scale

2 growette fills delivered to your home for $6 each sliding scale

Growler fill pick-up at Dick’s Kitchen Primal Burger in Woodstock with scheduled appointment for $10-$12 sliding scale

Can we work out a different sliding scale during this time or some kind of trade?

Anything you want to add?

What flavors are you interested in for this order?

Old Gregg: Raw kombucha with earl grey tea, bergamot, citrus peel and vanilla

Ginger Peach Guayusa: Raw kombucha with organic green tea, guayusa tea, ginger and peach

Winter Wonder: Raw kombucha with white peony tea, pomegranate juice and ginger

Blood Orange Ginger: Raw kombucha with white peony tea, blood orange and ginger

What day and time is best for growler delivery/ pick-up?

Afternoons

Evenings

Monday

Tuesday

Wednesday

Thursday

Friday

On the weekend

How often would you like this kind of service?

Every few days

Weekly

Every other week

Monthly

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If you have a growler of your own, would you be willing to leave the empty one out for us in a safe place?

Yes. I will leave the empty growler on my porch

No. I need a growler

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If you need a growler, are you able to pay $5 for one?

Yes, that's cool

No, but id still like to participate

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What is the best way to contact you?

Phone Call

Text

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What is your phone number?

We will do our very best to sanitize surfaces, growlers and environments during manufacturing and distribution. Is there any information that you want to share with us before we coordinate or interact?

Which of these payment options work for you?

Venmo

Cashapp

Paypal

Square at time of delivery

What is your username or email address for your chosen payment method?

What is your address?

Would you like to stay up to date with our emailed newsletter?

Yes

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If so, what is your email address?

Submit

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