Shipping Request Form
**Shipment requests should be for a single address – if you have multiple addresses, please fill out additional requests**
Your Name
*
First Name
Last Name
*WHY* are you shipping? Please provide enough information to justify the shipping expense.
*
Which department is this being shipped for?
*
Sales
Brand
Bulk Sale
COGS
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State
*
Please Select
CHAINS
INTERNATIONAL
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
MA
MD
ME
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
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Purpose
Agency
Competition
Customer Relations
Event
Market Sample(s)
Partnership
Press
Virtual Tasting
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ARRIVAL DEADLINE
For Single Cask requests, please allow a minimum of a 3 WEEK LEAD TIME. If needed sooner, continue to submit and we will do our best to accommodate. For all other requests, please allow a minimum of a 2 WEEK LEAD TIME.
*
-
Month
-
Day
Year
Date
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Shipping SINGLE CASK Whisky?
*
YES
NO
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SINGLE CASK SAMPLING
Single Cask Requests
Need LABELS for application to 4oz bottles? (see links below to order 4oz bottles and other supplies)
Amazon links for sampling:
4oz BOTTLES
FUNNELS
FINE POINT SHARPIES
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Shipping other whiskies?
YES
NO
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ALL OTHER WHISKY
Categories:
All
All
750ML C&C Core / DCR / VHW
700ML VDC
50ML Core Range (for a full case, use '48' for quantity)
750ML Cask Selections
VAP
Draftsman Kit
700ML Brewer's Coalition
Cierto Tequila
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( X )
750ML C&C Core / DCR / VHW
(750ML) Courage & Conviction Signature Malt
$
Free
Bottle Quantity
(750ML) Courage & Conviction Bourbon Cask
$
Free
Bottle Quantity
(750ML) Courage & Conviction Sherry Cask
$
Free
Bottle Quantity
(750ML) Courage & Conviction Cuvee Cask
$
Free
Bottle Quantity
(750)ML Double Cask Reserve
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
(750ML) VHW Cider Cask Finish
$
Free
Bottle Quantity
(750ML) VHW Port Cask Finish
$
Free
Bottle Quantity
700ML VDC
(700ML) VDC Port Cask Reserve
$
Free
Quantity
(700ML) VDC Cider Cask Finish
$
Free
Quantity
(700ML) VDC Cabernet Cask Select
$
Free
Quantity
(700ML) Blue Ridge Select
$
Free
Quantity
50ML Core Range (for a full case, use '48' for quantity)
(5OML) Courage & Conviction Signature Malt
$
Free
Quantity
(50ML) Courage & Conviction Bourbon Cask
$
Free
Quantity
(50ML) Courage & Conviction Sherry Cask
$
Free
Quantity
(50ML) Courage & Conviction Cuvee Cask
$
Free
Quantity
(50ML) VHW Port Cask Finish
$
Free
Bottle Quantity
(50ML) VHW Cider Cask Finish
$
Free
Bottle Quantity
(50ML) 4-Pack Sampler Box
$
Free
Quantity
750ML Cask Selections
(750ML) Cask Selection: Coffee Cask Finish
$
Free
Bottle Quantity
(750ML) Cask Selection: Sherry Cask Finish
$
Free
Bottle Quantity
VAP
VAP
$
Free
Quantity
Draftsman Kit
Draftsman Kit
$
Free
Quantity
700ML Brewer's Coalition
(700ML) Brewer's Coalition Goose Island Stout Finish
$
Free
Quantity
(700ML) Brewer's Coalition Hardywood Stout Cask Finish
$
Free
Quantity
(700ML) Brewer's Coalition Central Waters Black Gold Stout Finish
$
Free
Quantity
Cierto Tequila
Cierto Tequila- BLANCO
$
Free
Quantity
Cierto Tequila- REPOSADO
$
Free
Quantity
Cierto Tequila- ANEJO
$
Free
Quantity
Cierto Tequila- EXTRA ANEJO
$
Free
Quantity
If you requested C&C products, do you need the secondaries/tins?
Yes
No
Don't see the whisky you need? Add here - 750/700s only (please include quantities)
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Tasting Supplies/Empty 50ml boxes?
*
YES
NO
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TASTING SUPPLIES / EMPTY 50ML BOXES
*Please note these are the only POS/giveaways/tasting supply items available from the distillery. If you are looking for an item that is not listed here, please contact Dora - dora@vadistillery.com.
50ML 4-Pack Boxes (without whisky)
1
5
10
20
30
48 (1 case)
Other
1 Bottle Gift Bags
25
50
Other
Store Locator Cards
50
100
200
Other
ORDER POUR SPOUTS
ORDER TASTING CUPS
*Please note these are the only POS/giveaways/tasting supply items available from the distillery. If you are looking for an item that is not listed here, please contact Dora - dora@vadistillery.com.
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Please include miscellaneous items here. (leave blank if not needed)
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RECIPIENT INFORMATION
Recipient Name
*
First Name
Last Name
Recipient Business Name (if applicable)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Recipient Phone #
*
Please enter a valid phone number.
Recipient Email Address (for tracking)
*
example@example.com
Your Email Address (for tracking)
*
example@example.com
Any special shipping instructions? (signature required, delivery location, etc.)
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