Client/Host Name *

First Name

Last Name

Phone

(###)

###

####

Date of Event *

MM

DD

YYYY

Full Name of Designee *

Full name of designee (coordinator/point of contact person on day of event) identified by the client/host.

First Name

Last Name

Designee Phone Number *

(###)

###

####

Arrival Time for Guests *

Hour

Minute

Second

AM PM

End Time for Guests *

Hour

Minute

Second

AM PM

Beverage List Menu- *

Please select the types of beverages that will be served at your event below. You may list up to three specialty cocktails.. Please advise in the Beverage List Details if you need any ideas or suggestions for your beverage menu.

Beer

Wine

Spirits

Cocktails

QUOTE

Once we receive your booking form, we will contact you within 48 hours to schedule a consultation. After consult we will send a quote to your email.

Quote Amount

Date of Quote

Note: Please allow up to 48 hours to receive a reply from a Liquid Roses Team member.

MM

DD

YYYY