Drink Mix Order Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Pickup Date

Date

Pickup Time

Hour Minutes

AM/PM Option

Shipping

I would like my order shipped (please fill out address below only if you want your order shipped)

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I will send you a shipping total after your form is submitted. Shipping is usually around $8+ depending on total weight.

16 oz yields 4-6 drinks
32 oz yields 8-12 drinks
64 oz yields 20 - 30 drinks

My Products

Equinox Punch

Apple, Orange, Lemon, Maple, Rosemary, Pumpkin Spice, Cane Sugar. You add Water.

$10.00

Size	Quantity	Price
16 oz		$10.00
32 oz		$18.00
64 oz		$25.00

Peachy Keen

Peach, Chai Seasonings, and Cane Sugar. You add Water and Cream (or non-dairy alternative).

$10.00

SIze	Quantity	Price
16 oz		$10.00
32 oz		$18.00
64 oz		$25.00

Figgy Stardust

Lemon, Rosemary, Fig, and Cane Sugar. You add Water.

$10.00

Size	Quantity	Price
16 oz		$10.00
32 oz		$18.00
64 oz		$25.00

Cranberry Cooler

Cranberry, Orange, Apple Cider Vinegar, Cinnamon, and Cane Sugar. You add Ginger Ale.

$10.00

	Quantity	Price
16 oz		$10.00
32 oz		$18.00
64 oz		$25.00

Cozy Chamomile

Chamomile, Lemon, Honey, Pineapple, and Cardamom. You add Hot Water.

$10.00

	Quantity	Price
16 oz		$10.00
32 oz		$18.00
64 oz		$25.00

Dew Drop

Cucumber, Elderflower, Lime, and Cane Sugar. You add Moon Water.

$10.00

	Quantity	Price
16 oz		$10.00
32 oz		$18.00
64 oz		$25.00

Total

$0.00

Choose Payment Method*

Venmo (@Herbal-Mocktails)Credit/Debit Card (costs extra with fees)Cash

**PLEASE ALLOW ME 24 HOURS TO GET YOUR ORDER READY**

Once you hit submit, I will receive an email with your order. If you are paying with venmo, you can send the total to @Herbal-Mocktails. The last 4 numbers of my phone are 5515.

Cash sales are always preferred to avoid completely unnecessary processing fees that come with debit/credit transactions. If you choose to pay in cash, you can pay me when you come to pick up your order. If you choose credit/debit, I will send you an invoice by email and you can pay through that.

Pickup address is 748 Marigold Ln

Cheers! And thank you for supporting my small business!
Taylar