Please take a moment to fill out this form for your business to be included in this 2017 Madcity Cocktails pub passport.
*
indicates required
Name:
Email:
Comment:
Email Address
*
First Name
Last Name
Address
City
State
Zip
Phone
Cell
Bar/Restaurant name
*
Happy Hours (M-F)
Hours of Operation
Would you like 2 or 3 Drink deals?
*
Want add'l food deal? Describe your offer below
First/Full Name
Price
Street 2
Preferred format
HTML
Plain-text
