©CocktailRight®©
 
Only $25.00 for your CocktailRight® Recipe.
This covers our cost of research, certificate, postage and handling.
We will only issue ONE CocktailRight® per recipe.  No copies will be issued.

Cocktailright Order Form

Enter the RECIPE TITLE:
 (Your cocktail recipe's Name (unique) will appear on the CocktailRight Certificate)
Enter your ORIGINAL RECIPE to be CocktailRighted in the space provided below:
 (Please take your time and correctly type ingredients, measurements, and instructions to mix)
Enter the Recipe CREATOR's name
 (this creator name will appear as submitted on the CocktailRight Certificate) :
This Original Cocktail Recipe below Belongs to:
Myself (name below) Other (this is a gift)
Enter mailing information, for sending the Cocktailright certificate:
Name:
Company Name:
Street Address:
Address 2:
City/Town:
State/Country:
Zip Code:
*To be used For questions on your order only please provide the following:
*Telephone: (Area code) -
*E-mail address:
Please note:  We respect your privacy. No information will be given out or used with an outside party, or used for solicitations without your permission.
Where did you first hear about our CocktailRight?
Other/Info:
PRICE:  This for ONE certificate (we only issue one Cocktailright per recipe):
$25.00 for all orders sent to addresses within the United States.
$35.00 for all orders outside of the USA (includes Canada, So. America & Other Countries).
Payment Type:
Check (enclosed)  Money-Order (enclosed)  Charge Card (below)
Name appearing
on Credit Card:
Type of Card: Visa MasterCard American Express Discover/Novus
Credit Card Number:
Expiration date: (XX/XX = month/year)
CCV Security Code: 3-or-4 Digits
All credit card cards now have a Credit Card Verification number issued on them. The CCV is the last 3 digits shown on signature panel on the back of the card immediately after the card number or partial card number. On American Express cards the CVV number consists of 3-4 digits located on the front of the card. If you're unsure please leave the space blank.

Print a Copy BEFORE Submitting for Your Records - No payment Receipt follows!

ORDERING INSTRUCTIONS:
Use this online printable form to email, fax or mail.

Order it now!

Note:
 This is not a secure email system.  
If you are more comfortable, you may fax or mail your order below:

Please make your check or money-order payable in US Dollars to for either $25.00 or $35.00  to:  
                                                                    Foley Publishing Corp.

Type in the information above, then PRINT this order form from your computer.  Or, please type or hand print the information required above on a separate sheet of paper.  

All fields should be entered.  Do NOT DELAY your order:  
Orders without the required information will be returned.
Orders that we have problems reading will be returned.
Then: 

FAX Your Order to 908-766-6607, 
        or MAIL to:

CocktailRight Order
Foley Publishing Corporation
P.O. Box 158
Liberty Corner, N.J. 07938       

You're at www.CocktailRight.com
CocktailRight® is a Registered Trademark™ by Foley Publishing Corp.
Copyright © 2000-2008 Foley Publishing Corp.  All rights reserved.

Questions?  Use our ONLINE CONTACT FORM to E-mail us.

For more information, visit the website:  www.Bartender.com

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