CocktailRight Order Form

This handsome 8″x10″ Cocktailright® is an attractive certificate
with your Original Recipe and Creator’s name printed.
Signed, with a gold foiled seal by Raymond Foley, Publisher, ready to frame!

We will only issue ONE Cocktailright® per recipe.
Don’t give Up Your Rights, CocktailRight® It Now!
This certificate is available ONLY through BARTENDER Magazine.

Only $30.00 for your CocktailRight® Recipe.
This covers our cost of research, certificate, postage and handling.
We will only issue ONE CocktailRight® per recipe. No copies will be issued.

Recipe Title *

Your cocktail recipe's Name (unique) will appear on the CocktailRight Certificate

Cocktail Recipe *

Please take your time and correctly type ingredients, measurements, and instructions to mix

Recipe Creators Name *

This creator name will appear as submitted on the CocktailRight Certificate

This Original Cocktail Recipe below Belongs to: *

Myself

Other (gift)

Mailing Information

Who will we be sending the Cocktailright certificate to

Name *

Company Name

Street Address *

Street Address 2

City / Town *

State / Province *

Country *

Zip / Postal Code *

Phone Number *

Email Address *

Please note: We respect your privacy. No information will be given out or used with an outside party, or used for solicitations without your permission.

Where did you hear about CocktailRight?

More Info *

Please describe in more detail of how you heard about CocktailRight

PRICE: This for ONE certificate (we only issue one CocktailRight per recipe):
$30.00 for all orders sent to addresses within the United States.
$40.00 for all orders outside of the USA (includes Canada, So. America & Other Countries).