| First Name (*) |
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| Last Name (*) |
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| Address (*) |
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| City (*) |
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| State (*) |
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| ZIP Code (*) |
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| Phone Number (*) |
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| Driver's License (*) |
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| E-mail (*) |
Please Enter Valid E-mail Address |
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Kegs On Hand Please Order Two Business Days In Advance |
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| Select Brand (Hold "Ctrl" and left-click to select multiple kegs) |
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| If more than one of a selected keg is desired, please specify the amount here (Ex: Budweiser - 3, Killians - 2) |
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Special Order Kegs If there's a beer you would like that is not one of our on-hand kegs, please enter it here and we will contact you about availabilty and pricing. Please Order A Week In Advance |
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| Special Order (If Any) |
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Other Options |
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| Do you need a keg pump(s)?* (*) |
Must select Yes or No |
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* The keg pump deposit varies but will be at least $30. All but $5 of the deposit fee will be refunded on the return of the pump. Unless you have another method to dispense beer (e.g. a Kegerator) you will need a keg pump. |
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| Keg Bag ($2.29 plus tax) |
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| Bags of Ice |
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| Number of Ice Bags |
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| Bag of 3 Ping Pong Balls (99 cents + tax) |
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| Number of Ping Pong Bags |
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| Plastic Cups |
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| Number of Cup Packages |
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| Store To Be Picked Up At (*) |
Must Select Store |
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| Requested Pick-up Date (Please order On Hand Kegs TWO BUSINESS DAYS in advance and Special Order Kegs ONE WEEK in advance) (*) |
Must Select Date |
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I understand that I will be charged a minimum of a $30 keg deposit fee. Keg deposit fees will vary and are separate from keg pump fees. |
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| (*) |
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I understand that all kegs and pumps shall be returned within 7 days of purchase to receive a deposit refund and that the deposit will be forfeited on the eighth day. |
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| (*) |
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