Enquiry: beer order
You can order beer to take away via this form. The order must be placed at least 7 days before the pick-up date. Deposit: per cask SFr. 100 / per tapping equipment SFr. 8.-The order is only valid once you have received confirmation from us. All fields with a * are mandatory. Many thanks.
* Pick-up date	Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day Month January February March April May June July August September October November December Month Year 2013 2014 2015 Year Time 09.00 10.00 11.00 12.00 13.00 14.00 15.00 16.00 17.00 18.00 Time 19.00 20.00 21.00 item
Type of beer	Size of cask	Number
Blonde Brune/Lago Mio Spéciale Blanche/Sureau	5 liters Fr. 23.00 10 liters Fr. 42.00 20 liters Fr. 76.00	1 2 3 4
Blonde Brune/Lago Mio Spéciale Blanche/Sureau	5 liters Fr. 23.00 10 liters Fr. 42.00 20 liters Fr. 76.00	1 2 3 4
Blonde Brune/Lago Mio Spéciale Blanche/Sureau	5 liters Fr. 23.00 10 liters Fr. 42.00 20 liters Fr. 76.00	1 2 3 4
Blonde Brune/Lago Mio Spéciale Blanche/Sureau	5 liters Fr. 23.00 10 liters Fr. 42.00 20 liters Fr. 76.00	1 2 3 4
* First name and sirname
* Phone
* Email
Remarks