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*
Pickup at MarketsDelivery
Delivery Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Direct DepositCash on Delivery
Should be Empty: