Your Name:

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* 1. Your Name:

Your email address:

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* 2. Your email address:

Your phone number: (we need this to get in touch to tell you if you've been successful)

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* 3. Your phone number: (we need this to get in touch to tell you if you've been successful)

Name of your bar:

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* 4. Name of your bar:

Your Original Funkin Cocktail recipe:

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* 5. Your Original Funkin Cocktail recipe:

Why will your cocktail be a best-seller (in under 200 words):

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* 6. Why will your cocktail be a best-seller (in under 200 words):

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