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Bourbon Preorder Form
Name
First Name *
Last Name *
Address
Country
Address Line 1 *
City *
State/Province *
Postal Code *
Phone
Email
Number of Single Bottles @ $150 Each (includes a $65 dollar donation)
0
1
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3
4
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8
9
10
Would you like your bottle wrapped in a festive burlap wrap? $2 Dollars for Each Bottle
Yes
No
Number of Baskets of 3 Bottles @ $400 Each Basket - (includes a $145 donation)
3 Bottles in a festive basket with 2 snifter glasses for $400! Buy in bulk and save on the perfect holiday gift!
0
1
2
3
4
5
6
7
8
9
10
Which location would you like to pickup?
*Dates are subject to change. Please provide a valid email address so we can contact you if there are any updates or changes to the scheduled date.*
Sullivan | Nov 19th - 5:30 pm to 8:30 pm | 203 Cimarron Road, Monticello, NY
Orange | Nov 20th - 5:30 pm to 8:30 pm | 357 Mt Hope Rd, Middletown, NY
Dutchess | Nov 21st - 12 pm to 3 pm | 8 Industry St, Poughkeepsie, NY
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I agree i am at least 21 years of age or older and I understand my ID will be checked at the time of purchase in accordance with New York State Liquor Licensing Laws.
I agree
I agree the person registering is also the person paying and picking up for charitable accounting purposes.
I agree
I agree that this preorder form does not constitute a guaranteed sale. Supplies are limited and will be sold on a first come, first served basis determined by pre-orders.
I agree
About
Overview
Mission & Core Values
Senior Management & Board of Directors
The Arc GHV Foundation
QI,Compliance and Notices
Standards of Conduct
Corporate Compliance
Quality Improvement
The Council on Quality and Leadership (CQL)
Notices
Privacy Notice
Contact Us
Annual Report
Programs
Community Services & Inclusion (CSI)
Community Services and Inclusion (CSI)
Rec & Teen Respite Program
Children's Services
Sibshop
Clinical Services
Clinical Services
Developmental Screening and Evaluation
Employment Services
Employment Services
School to Work and Transition Service
Day Services
Guardianship
Mobile Mental Health Hotline
Residential Services
Service Coordination
News/Events
Events
Newsroom
Photo Gallery
Resources
Join Our Mailing List
For the Love of Raymond
The J. Richard (Ric) Schwartz Scholarship Application
Get Involved
Advocacy
Donate
Membership
Car Donations
Careers
Job Postings
Join Our Family
Success Stories
staff-shirts
Apply for a Job
Learn about our Programs
Join Our Mailing List
Advocate Today!