Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Full Name *FirstLastCompany Name (Optional)Email *Phone Number *Billing Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeShipping Address (Required unless Pickup selected) *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSelect Your Spirit (Choose Your Spirit) *Pirata RumTerebelo BourbonBlauvelt – Finished in Jamaican Rum CaskTerebelo Bourbon – Finished in Mezcal CaskQuantity *Pricing Option (75 per bottle / Or choose a 40 bottle Calculation) *$75 per bottle$40 per bottleSubtotal (Quantity x 75)Subtotal (Quantity x 40)Personalization Optional (Add a custom name or message to each bottle)Add a custom name or message to each bottle (5 per bottle)Personalization Details (Bottle Number / Name or Message)Personalization Fee (Quantity x 5 if selected)Shipping (based on option) (Pay 40) Address Tax (fixed or percentage)Fees (based on optional Add-Ons)TotalLabel Text or General Message (Optional)OccasionCorporate GiftWeddingBar MitzvahFundraiserPrivate CelebrationRetailOtherSpecial Design Instructions (Optional)Upload Logo * Drag & Drop Files, Choose Files to Upload Upload Label Inspiration (Optional) Drag & Drop Files, Choose Files to Upload Shipping or Pickup *Local Pickup (Complimentary)Standard Shipping (must be dynamic)Expedited Shipping 35 (2-3 day delivery)Optional Add-Ons (Rush Design Service / Luxury Gift Packaging / Custom Neck Tag Message)Rush Design Service – $25 (proof in 24 hours)Luxury Gift Packaging – $15 per bottleCustom Neck Tag Message – $5 per bottleAgreement (Required) *I confirm I own or have rights to uploaded artwork.I understand custom orders are final sale.I confirm I am 21 years or older.Production begins after proof approval 37 business days.Total (Subtotal + Personalization + Add-ons + Shipping + Tax)$0.00Optional Secondary Option (Pay by Bank Transfer / Zelle Manual Confirmation)Pay by Bank Transfer (Zelle) – Manual ConfirmationPay by Card (Stripe Credit Card Field)Payment (Stripe Credit Card Field) *NotesSubmit
