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Name *

First Name

Last Name

Phone

(###)

###

####

Event Date *

MM

DD

YYYY

Package Add-on *

Additional Staffing (Bartender, Drink Server, Security, etc.)

Event Rental (Bars, Glassware, Champagne Wall, etc.)

Add a Frangrias Crafted Cocktail or Mocktail

Garnish & Mixers

Bar Consummables (Straws, Napkins, Cups & Ice)

None

Event start time *

Hour

Minute

Second

AM PM

Event end time *

Hour

Minute

Second

AM PM

Event Address

If you chose a private location please give address.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country