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Your Name
Business Name
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Email
Does your business have a keg dispenser?
Select one option
Yes- I can dispense kombucha from a keg
No- I wish to lease Kegerator from Bombucha
No- I wish to buy Kegerator from Bombucha
What size keg would you prefer to order?
Select one option
Mini Keg- 5L
Cornelius Keg- 19L
Barrel- 50L
How many kegs do you anticipate ordering per month?
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1-2 kegs
3-6 kegs
6+ kegs
Which of the Following Flavours Interest You?
Select Multiple Options
Raspberry Lemonade
Pina Colada
Hibiscus Berry
Passionfruit Strawberry
Ginger Lemongrass
Chai Spice
Cucumber Mint
Mango and Pineapple
Other Flavour Suggestions (Optional)
How much would you expect to pay for your choice of keg size?
We encourage trying some of our thirst crushing kombucha- we know you’ll love it! Would you like us to get in touch to arrange a free sampling?
Select one option
Yes
No
Additional comments or suggestions
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