Name *

First Name

Last Name

Phone *

(###)

###

####

Your Personal Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Address of the Event *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What Type of Event is it? *

Wedding

Birthday Party

Bachelor/Bachelorette Party

Holiday Party

Corporate Event

Other

Date of the Event *

MM

DD

YYYY

Start Time

Hour

Minute

Second

AM PM

End Time

Hour

Minute

Second

AM PM

Is This an Indoor or Outdoor Event? *

Indoor

Outdoor

Would you like us to serve out of our bar trailer "Jackass Annie" ? *

Yes

No

Open Bar or Cash Bar *

Open Bar (You cover the cost of all beverages consumed)

Cash Bar (Your guests cover the cost of their own beverages)

Partial Open/Partial Cash Bar

Selections-What would you like your beverage menu to look like? *

Curated Wine Selection- We work with you to choose specially curated wines for your event

Budget Friendly Wine Selection- We find the best and tastiest deal possible for you

We Would Like to Offer a Toast

Local Beer

Predetermined Mixed Cocktails

Mocktails

Sparkling Water

Other

Would you like us to provide a water station? *

Yes

No

Not Sure yet

Glassware *

We would like Jackass Annie to facilitate our glassware rental

We would like Jackass Annie to source compostable disposable drinkware

We will facilitate our own glassware rental