• Brewery Information

  Brewery Name:

  Attendees:

• Main Contact

  This will be the main point of contact between fest organizers and your brewery

  Name:

  Email Address:

  Phone Number:

  Address:

  City:

  State:

  Email:

• Distributor Information

  Distributor Name:

  Distributor Phone:

  Distributor Contact Name:

  Distributor Contact Phone:

  Distributor Contact Email:

  Have Jockey Box? YesNo

  Have CO2? YesNo

• Your Beers

  Beer 1	Beer 2	Beer 3
  Name: Style: 1/6 BarrelBottles	Name: Style: 1/6 BarrelBottles	Name: Style: 1/6 BarrelBottles

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By checking this box I understand that submission of this application does not guarantee inclusion to the Brew Moon Fest. A Brew Moon Fest representative will be in contact with you to discuss the details.