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Ethyl Alcohol Form
Ethyl Alcohol Order Form
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User Information
Name
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Approving Transactor Information
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If this is your first time purchasing tax-free alcohol from us, you must fill out, sign and submit an
ALCOHOL CUSTODIAN
form
.
Delivery Information
Delivery Location Building
Delivery Location Room Number
Alcohol Custodian Name
FAU Account Number
Activity
Fund
Function
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Project Code
Order Information
Please fill in the quantity for each item:
43196111 - 200 proof - 1 gallon container - $15.90
43196112 - 190 proof - 5 gallon container - $80.14
43196113 - 190 proof - bulk (will need your container) - $13.15
43196114 - 190 proof - 1 gallon container - $15.90
43196115 - 200 proof - pints - $3.10
Do we need to pick up your containers for refill?
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