Blefa Steel Keg Swap Request Form
Name
*
First Name
Last Name
Company
*
Title
*
Ex: Owner, Head Brewer, Etc
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Preferred Method of Contact
Email
Phone
I have too many of the following kegs:
Let us know about how many kegs you would like to get rid of in the following sizes.
Heavy On 1/2 BBL Stainless Steel Kegs
Heavy On 1/6 BBL Stainless Steel Kegs
Heavy On 1/4 BBL Stainless Steel Kegs
Heavy On 50 Liter Stainless Steel Kegs
I need more of the following kegs:
Let us know how many of the following keg sizes you're interested in.
Need More 1/2 BBL Stainless Steel Kegs
Need More 1/6 BBL Stainless Steel Kegs
Need More 1/4 BBL Stainless Steel Kegs
Need More 50 Liter Stainless Steel Kegs
Interested in Custom Logo Silk Screening?
Yes
No
Interested in Lease to Own / Financing Options?
Yes
No
Desired Delivery Date
-
Month
-
Day
Year
Is this for Commercial or Residential Delivery?
Commercial
Residential
Do you require Lift Gate Service for Delivery? (No dock or forklift on site)
Yes
No
Comments, Questions, Additional Requests:
Submit
Should be Empty: