Pick up drink Order Form

Interested in ordering from Cinco De Mayo Menu ? Fill out info and we will be in touch shortly! We can't wait to hear from you! You must hear from us first before your order is considered confirmed. Go to store and add to your cart for payment!

Name

First Name

Last Name

Are you at least 21 years old?

Valid ID required at pickup

Email

Phone

(###)

###

####

What drinks?

each drink has a 2oz pour of alcohol and are $12 a piece

The water

Pink Matter

Sex, Love & Pain

Vinyl Pour Creation

Preferred Date

MM

DD

YYYY

How did you hear about us?

Message

Payment

Have you submitted payment?

Click Here to Pay

Pick up drink Order Form

Pick up drink Order Form

The Vinyl Pour

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