TEMPERANCE COCKTAILS ORDER FORM

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NAME *

First Name Last Name

EMAIL *

DELIVERY ADDRESS *

PREFERRED DELIVERY DATE (PLEASE ALLOW 3 - 5 DAYS FOR DELIVERY!)

SELECTIONS *

THE EMPRESS - hibiscus · rosebud · verjus rouge · blackcurrant $ 5.50 CAD

Quantity

FORTITUDE - lychee · rice vinegar · jasmine tea · lemon oil $ 5.50 CAD

Quantity

THE FOOL - almond orgeat · mint · lemon $ 5.50 CAD

Quantity

THE HIEROPHANT - beet · pomegranate · lapsang souchong tea · clove · concord grape $ 5.50 CAD

Quantity

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Subtotal $ 0.00 CAD Shipping $ 0.00 CAD Total $ 0.00 CAD

PAYMENTS PROCESSED BY SQUARE
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Expiration Date	Postal Code

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