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Ambassador Event Cigar Request
STOP: ALL EVENT CIGAR REQUEST MUST BE COMPLETED TWO (2) WEEKS BEFORE EVENT
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Complete Event Information
Ambassador Name
: (Select One)
Select an option
Select Ambassador Name
Eric Story
Tanya Pritchett
James Johnson
Chauncey Ross
Kaci Spenser
Alexis Wilson
Desiree Sylver
Shop Name/Event Name
(required)
Event Location
(required)
City
(required)
State
(required)
Date (YYYY-MM-DD)
(required)
Type of Event
Select an option
Pick Type of Event
Lounge Cut & Light
Private Event
Cigar Week/Festival
Lounge Gift
Type of Event
Select an option
Pick Type A Gift for the Lounge
None
Bovada Picture
Pool Table Picture
Fat Hen Picture
Partners & Promotions
Partnership?
(required)
Promotions/Giveaways (Example: buy 4 get 1 – receive a drink with purchase of 4 cigars)?
(required)
Shipping Cigars
Shipping Location
(required)
Shipping City
(required)
Shipping State
(required)
Shipping Zip
(required)
Additional Information
Submit Request
Submitting form