Full Name
*
First Name
Last Name
Event Date
*
-
Month
-
Day
Year
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Region
*
Please Select
CAPE TOWN
JOHANNESBURG
DURBAN
STELLENBOSCH
OTHER
If other, specify
E-mail
*
Mobile/Phone Number
*
-
Area Code
Phone Number
Beer Dispenser
Single Tap (R 500)
Double Tap (R750)
Additional Taps
No Tap - Keg Only
Beer Choice
Please Select
CASTLE LAGER 30L
CASTLE LAGER 50L
BLACK LABEL 30L
BLACK LABEL 5OL
HANSA 30L
HANSA 50L (JHB/DUR ONLY)
PERONI 30L
CASTLE LITE 30L
GROLSCH 30L
WINDHOEK 50L (ONLY AVAILABLE IN 50L)
AMSTEL 30L
JACK BLACK 30L (CPT/JHB)
DARLING SLOW LAGER 30L
BOSTON LAGER 30L
BOSTON LAGER 50L
BOSTON WHALE TAIL ALE 30L(CPT/JHB)
BOSTON NAKED MEXICAN 30L
BOSTON NAKED MEXICAN 50L
DEVILS PEAK BLOCKHOUSE IPA 30L
DEVILS PEAK FIRST LIGHT ALE 30L
DEVILS PEAK WOODHEAD AMBER ALE 30L
MITCHELL'S FORRESTER LAGER 30L
MITCHELL'S BOSUN BITTER 30L
CITIZEN AMBER ALE 30L (CPT ONLY)
OTHER, Please specify below
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Additional Beer
Please Select
CASTLE LAGER 30L
CASTLE LAGER 50L
BLACK LABEL 30L
BLACK LABEL 5OL
HANSA 30L
HANSA 50L (JHB/DUR ONLY)
PERONI 30L
CASTLE LITE 30L
GROLSCH 30L
WINDHOEK 50L (ONLY AVAILABLE IN 50L)
AMSTEL 30L
JACK BLACK 30L (CPT/JHB)
DARLING SLOW LAGER 30L
BOSTON LAGER 30L
BOSTON LAGER 50L
BOSTON WHALE TAIL ALE 30L(CPT/JHB)
BOSTON NAKED MEXICAN 30L
BOSTON NAKED MEXICAN 50L
DEVILS PEAK BLOCKHOUSE IPA 30L
DEVILS PEAK FIRST LIGHT ALE 30L
DEVILS PEAK WOODHEAD AMBER ALE 30L
MITCHELL'S FORRESTER LAGER 30L
MITCHELL'S BOSUN BITTER 30L
OTHER, Please specify below
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Additional Beer
Please Select
CASTLE LAGER 30L
CASTLE LAGER 50L
BLACK LABEL 30L
BLACK LABEL 5OL
HANSA 30L
HANSA 50L (JHB/DUR ONLY)
PERONI 30L
CASTLE LITE 30L
GROLSCH 30L
WINDHOEK 50L (ONLY AVAILABLE IN 50L)
AMSTEL 30L
JACK BLACK 30L (CPT/JHB)
DARLING SLOW LAGER 30L
BOSTON LAGER 30L
BOSTON LAGER 50L
BOSTON WHALE TAIL ALE 30L(CPT/JHB)
BOSTON NAKED MEXICAN 30L
BOSTON NAKED MEXICAN 50L
DEVILS PEAK BLOCKHOUSE IPA 30L
DEVILS PEAK FIRST LIGHT ALE 30L
DEVILS PEAK WOODHEAD AMBER ALE 30L
MITCHELL'S FORRESTER LAGER 30L
MITCHELL'S BOSUN BITTER 30L
OTHER, Please specify below
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Additional Cups (R1.75 ea)
Do you require delivery?
*
Yes
No, I'd like to collect.
Notes/Instructions:
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