Exquisite Liquors Beverage Order Form

Exquisite Liquors Beverage Order Form

Order your favorite beverages for the Christmas season with options for size and delivery. "Sip the Culture-Each Sip tells a story".
Full Name

First NameLast Name
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
SORREL LIQUOR 750ml $220
Quantity
SORREL LIQUOR 400ml $170
Quantity
BACKYARD RUM PUNCH 750ml $200
Quantity
BACKYARD RUM PUNCH 400ml $150
Quantity
TROPICAL SUNRISE COCKTAIL 750ml $200
Quantity
TROPICAL SUNRISE COCKTAIL 400ml $150
Quantity
SORREL JAM 280ml $45
Quantity
GIFT SETS $350 (150ml each flavour)
Quantity
Delivery Option: Do note that all deliveries and pickups will begin end of November
Delivery Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Payment Option: If Direct Deposit is selected you will be contacted with banking information
Should be Empty: