Name

First Name

Last Name

Name *

First Name

Last Name

Phone *

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Date *

MM

DD

YYYY

Start time *

Hour

Minute

Second

AM PM

End time *

Hour

Minute

Second

AM PM

Name *

First Name

Last Name

Phone *

(###)

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Date of Pickup *

MM

DD

YYYY

Legal requirements *

Party Kegs are 5 gallons. We can only sell one party keg per person per day. This means if you want two kegs, you need to bring two legal purchasers of alcohol for pickup. The kegs can be on the same transaction but we need one person per keg purchased.

I understand; I will bring one legal purchaser of alcohol per keg for pickup

Name *

First Name

Last Name

Phone *

(###)

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