Cocktail Concepts Order Form

Name: (required)
Date of function:
Delivery address: (required)
Email address: (required)
Phone: (required)
Mobile phone number:
Type of function:
Products required: Frozen cocktail machine Offer 1- $185.00
Frozen cocktail machine Offer 2 - $235.00
Frozen cocktail machine Offer 3 - $340.00
Jukebox - $185
Karaoke Jukebox Digital- $225
Frozen cocktail machine other - POA
Cosmic cocktail glasses - $10 each (numbers will be confirmed when contacted)
Cocktail Flavours -
Additional Flavours $35 each 		STRAWBERRY DAQUIRI
MANGO DAQUIRI
BETWEEN THE SHEETS
BLUE LAGOON
BOURBON & COLA
CRAZY IVAN
FRUIT TINGLE
GREEN DRAGON
MELLUSION
JELLY BEAN
MARGARITA
MIDORI COLADA
PINA COLADA
SEX ON THE BEACH
KAMIKAZE
JAPANESE SLIPPER
STRAWBERRY BELLINI
PEACH BELLINI
COSMOPOLITAN
CHI CHI
CRUISING
AWAY WITH THE BREEZE
MUDSLIDE
TROPICAL COCKTAIL

*Prices may vary due to seasonal events and demand, (eg. New Years).
The Deposit is non refundable if cancelled within 14 days of the booked date.

COCKTAIL CONCEPTS - PH: 0418 638 029
www.cocktailconcepts.com.au
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