Ambassador Event Cigar Request

STOP: ALL EVENT CIGAR REQUEST MUST BE COMPLETED TWO (2) WEEKS BEFORE EVENT

Complete Event Information

Ambassador Name: (Select One)

Shop Name/Event Name

Event Location

City

State

Date (YYYY-MM-DD)

Type of Event

Lounge Gift

Type of Event

Partners & Promotions

Partnership?

Promotions/Giveaways (Example: buy 4 get 1 – receive a drink with purchase of 4 cigars)?

Shipping Cigars

Shipping Location

Shipping City

Shipping State

Shipping Zip

Additional Information