Keg Agreement Form

Please fill out the form below. Once filled out, you will need to purchase the keg online: Click Here.

Keg will be released to you once both the form and purchase have been successfully completed.

Thank you in advance for choosing Pueblo Vida Brewing, Cheers!

Please be aware of the Arizona liquor laws for serving beer at your event, for more information contact AZ DLLC.

Contact Name

First Name

Last Name

Email Address

Best Contact Phone Number

(###)

###

####

Type of Event

If OTHER, please explain:

Event Location, if not for home use

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Event

MM

DD

YYYY

Birth Date

MM

DD

YYYY

Will you be picking up the keg? If not, please type the name of person picking it up. They must be 21+ and have a valid ID when picking up.

Returns Acknowledgment

At our discretion, deposit fees may not be refunded if: keg is returned later than 60 days from date of pickup or keg is returned damaged in any way that was not present at the time of rental.

I Agree

Pick-Up Acknowledgment

You must be 21 years of age or older and present a valid photo ID (driver’s license, passport, military ID, state ID)

I Agree

Liability Acknowledgment

Signer accepts all responsibility for the items purchased or rented. Signer also assumes all liabilities, including serving to minors, associated with this agreement.

I Agree

Signature