Bacchus Wine and Beer Bistro Gift Basket Program 2023

501 Old Stoney Rd, Corolla, NC
T: 252-453-4333
F: 252-453-2429
email@bacchusobx.com
bacchuswineandbeer.com

CONTACT INFORMATION
Your Name Your Name First Last
Have you moved?

Have you moved? Yes No
Your Home Address Your Home Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Your Home Phone Your Home Phone - ### - ### ####
Your Cell Phone Your Cell Phone - ### - ### ####
Your Email
COTTAGE INFORMATION
Cottage Name
Cottage Address Cottage Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Subdivision Name
Cottage Phone Number Cottage Phone Number - ### - ### ####
Rental Company
Cottage Rental #
Access Code if Gated Community
PAYMENT OPTIONS
Pre-pay (10% discount - Pre-pay clients will receive a monthly statement of account activity and balance).

Pre-pay (10% discount - Pre-pay clients will receive a monthly statement of account activity and balance). Yes No

Pre-payments MUST be received by May 1st and paid by check only! Standard charges will apply to gifts delivered before receipt of your pre-payment.
*** If you run out of prepaid funds, shall we charge your credit card?

*** If you run out of prepaid funds, shall we charge your credit card? Yes No
Your Credit Card. Please select which one you will be using. (Charged the first of the week following delevery.)

Your Credit Card. Please select which one you will be using. (Charged the first of the week following delevery.) Visa Master Card American Express Discover
Your Credit Card Number:
Expiration Date:
CCV Number:
Billing Zip Code:
DELIVERY REQUEST
1. Who will provide a list of your renters?

1. Who will provide a list of your renters? Homeowner Rental Company
2. As additional renters are confirmed, do you want us to add them to your delivery schedule?

2. As additional renters are confirmed, do you want us to add them to your delivery schedule? Yes No
3. Do you have a delivery day preference?

3. Do you have a delivery day preference? Arrival Day No preference Other
4. What dates should we deliver? Include delivery Start Date and delivery End Date.
4. Continued... Select all that apply:

4. Continued... Select all that apply: In Season Only (Memorial Day to Labor Day) All weeks with renters Specific renters only (please provide guest name and check in date) Include owner weeks Include partial weeks Other
If you checked: Specific Renters Only (please provide guest name and date of check in)
WHAT DO YOU WANT DELIEVERED?
GIFT CERTIFICATES

GIFT CERTIFICATES $10.00 $25.00 $50.00 Other

Please select denomination and delivery options ($5 delivery fee)
If you checked "Other", enter amount of Gift Certificate you would like to send.
Where should we take them to?
When do you want them delivered?
BACCHUS CAKES $41.00 per delivery.

BACCHUS CAKES $41.00 per delivery. All renters First Time Renters Return Renters 2 Week Renters – Week 1 2 Week Renters – Week 2 Specific Renters Only (please provide guest name and date of check in)

Triple Layer Chocolate Cake.
If you checked: Specific Renters Only (please provide guest name and date of check in)
BACCHUS PLATTER OF COOKIES $32.00 per delivery.

BACCHUS PLATTER OF COOKIES $32.00 per delivery. All renters First Time Renters Return Renters 2 Week Renters – Week 1 2 Week Renters – Week 2 Specific Renters Only (please provide guest name and date of check in)

Who doesn’t love a cookie! Platters include 12 oversized chocolate chip, Recess’s Peanut Butter Cup, or oatmeal raisin.
If you checked: Specific Renters Only (please provide guest name and date of check in)
STUFFED BACCHUS BAGS:

STUFFED BACCHUS BAGS: $46, OBX Welcome Bag - One of our most popular bags! A perfect welcome for the hungry traveler. Includes Bacchus select wine, gourmet pita chips and dip, snack mix, and small batch taffy. $50, Soundview Sunset Bag – Perfect for the first night at the beach as your guests enjoy our beautiful sunsets. Includes Bacchus select wine, extra virgin olive oil, pasta and sauce, and small batch taffy. $50, Special Occasion Bags – A great option to celebrate specific occasions. Includes Bacchus select wine and gourmet items (sweet & salty) tailored for the occasion. Select from wedding, birthday, anniversary, congratulations, or a special seasonal theme.
SPECIALTY GIFT BASKETS:

SPECIALTY GIFT BASKETS: $80, Fresh Select Basket – Great for your returning guests and other special thank you gifts. Two bottles Bacchus select wine, artisanal cheese spread, cured meats, crackers, house baked cookies, and small batch taffy. $58, Craft Beer & Snack Basket – Treat your guests to a variety of craft beers and specialty snacks – perfect for lounging by the pool or heading to the beach. Includes a variety of 6 craft beers, crackers, artisanal cheese spread, and snack mix. $75, Local Flavor Gift Basket – We partner with local businesses to bring the best of the OBX to you! Includes one bottle of Sanctuary wine, Ella’s Olives tapenade spread, crackers, Outer Banks Popcorn Shoppe popcorn, and a sampling of local OBX beer.
OTHER GIFTS:

OTHER GIFTS: $32, Platter of Cookies – Who doesn’t love a cookie? Platters include a variety of 12 oversized cookies. $41, Decadent Chocolate Cakes – Triple layer chocolate cake that people come by begging for! One of our most popular gifts! $50 and up, Custom Basket – Build a basket custom made from our extensive wine, craft beer, and gourmet item selections. $, Gift Certificates – A popular gift for our 4x4 homes. Gift certificates can be included in your renters check in package at your rental company.
Deliver for:

Deliver for: All renters First Time Renters Return Renters 2 Week Renters – Week 1 2 Week Renters – Week 2 Specific Renters Only (please provide guest name and date of check in)
If you checked: Specific Renters Only (please provide guest name and date of check in)
**Please note:

If an item is out of stock or no longer available at the same price,
Bacchus Wine and Beer Bistro reserves the right to replace any item(s) with similar item(s) of the same value.
6. Personalized Card for each gift – Each gift will include a small colorful card with a note
specially written by you! Please tell us what your card will say. Please note that the card size is 2” x 3.5” – please be brief!

6. Personalized Card for each gift – Each gift will include a small colorful card with a note
specially written by you! Please tell us what your card will say. Please note that the card size is 2” x 3.5” – please be brief! Same as previous message? New message?
If you checked: "New message?" Write your new message here.
Choose the Graphic on your card:

Choose the Graphic on your card: Clam Beach Chair Seagull Wild Horse Whale Beach Scene Dolphin On the Beach Pelican
Draw your signature into the box below. By signing this form, you agree to the terms that have been selected and approve delivery during the dates noted above.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

Bacchus Wine and Beer Bistro Gift Basket Program 2023

Bacchus Wine and Beer Bistro Gift Basket Program 2023

CONTACT INFORMATION

COTTAGE INFORMATION

PAYMENT OPTIONS

DELIVERY REQUEST

WHAT DO YOU WANT DELIEVERED?

**Please note: