Horizon Yacht Charters (Antigua) Beverage Provisioning Order Form

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1 Horizon Yacht Charters (Antigua) Beverage Provisioning Order Form Name Yacht Name Number in Party Arrival Date and Time Charter Start Date Charter End Date Please complete and return to: Horizon Yacht Charters Antigua P.O. Box 68, Jolly Harbour Marina, Antigua Tel: (268) Fax: (268) Page 1 of 10

2 The Basics: Sodas / Juices / Water Price Quantity Subtotal Sodas / Mixers Diet Coke (cans - 12oz) Single Can $2.55 Case of 24 $27.00 $0.00 Coke Classic (cans - 12oz) Single Can $2.55 Case of 24 $27.00 $0.00 Pepsi (cans - 12oz) $1.25 Diet Pepsi (cans - 12oz) $1.25 Diet 7Up (cans - 12oz) $2.55 Diet Sprite (cans - 12oz) $2.55 Fanta (cans - 12oz) $2.55 Sprite (cans - 12oz) $2.55 Tonic Water (cans - 12oz) $2.55 Ginger Ale (cans - 12oz) $2.55 Ting (250ml) $1.20 Soda Water (cans - 12oz) $2.55 Sodas/Mixers Total 0 $0.00 Page 2 of 10

3 The Basics: Sodas / Juices / Water (continued) Price Quantity Subtotal Juices Apple (46oz) $5.00 $0.00 Orange (46oz) $5.00 $0.00 Pineapple (46oz) $4.00 $0.00 Cranberry (46oz) $4.00 $0.00 Tomato Juice (46oz) $4.50 $0.00 Tomato Juice (11.5oz) $2.20 $0.00 Grapefruit (46oz) $5.00 Fruit Punch (can oz) $1.00 $0.00 Tropical juice - assorted flavors (1L) $1.85 $0.00 Gatorade (20oz) $1.85 $0.00 Tropicana orange juice w/pulp (59oz) $11.25 $0.00 Tropicana orange juice no pulp (59oz) $11.25 $0.00 Tropicana orange juice w/pulp (89oz) $17.30 $0.00 Tropicana orange juice no pulp (89oz) $17.30 $0.00 Juices Total 0 $0.00 Water Still Sport bottles (710ml / case of 24) $13.00 $0.00 Oasis (1.5 litre) $2.45 $0.00 Oasis (5 litre) $2.42 Fiji (1.5 Litre) $3.30 Fiji (500ml) $1.75 Epicurean (1 gallon) $1.71 Sparkling - San Pellegrino (750ml) $2.50 $0.00 Sparkling - San Pellegrino (250ml) $1.70 Water Total 0 $0.00 Page 3 of 10

4 Beer / Cider Price Quantity Subtotal Budweiser Lite (Pack of 6 only- Bottles) $10.25 $0.00 Corona (Pack of 6 only) - Bottles $11.40 Carib (Single cans - 330ml) $2.50 $0.00 Cors Lights (Single cans - 12oz) $1.60 $0.00 Budweiser (Single cans - 12oz) $1.70 $0.00 Heineken (Single cans oz) $2.05 $0.00 Red Stripe Single cans - 330ml) $2.30 $0.00 Banks (Single cans - 330ml) $40.00 $0.00 Wadadli (Single cans - 355ml) $1.60 $0.00 Wadadli (Pack of 24 cans) $35.00 Presidente (Pack of 24 cans) $99.00 $0.00 Carib (Pack of 24 cans) $55.00 Guinness (Pack of 24 cans) $57.00 $0.00 Beer / Cider Total 0 $0.00 Liquor / Spirits Rum Appleton White (750ml) $9.50 $0.00 Bacardi White (750ml) $15.00 $0.00 Captain Morgan Spice (750ml) $18.50 $0.00 English Harbour Rum Golden (1 litre) $16.27 $0.00 English Harbour Rum White (1 litre) $16.27 $0.00 Mount Gay (750ml) $18.00 $0.00 Myers Original Dark (750ml) $14.80 $0.00 El Dorado 15 year old (750ml) $41.30 $0.00 El Dorado 21 year old (750ml) $45.70 $0.00 Malibu (1 litre) $15.95 Angostura (750ml) $12.25 Appleton estate (1 litre) $12.25 Gin Bombay Sapphire (750ml) $24.70 $0.00 Gordon's Dry (750ml) $12.15 $0.00 Bombay Dry (litre) $16.00 $0.00 Tanqueray English (1 litre) $22.00 $0.00 Glens (700ml) $5.25 $0.00 Vodka Absolut (750ml) $14.30 $0.00 Smirnoff (750ml) $10.20 $0.00 Smirnoff - green apple (1 litre) $16.05 Absolute - raspberry (1 litre) $17.69 Grey Goose (700ml) $39.45 Page 4 of 10

5 Grey Goose (1 litre) $63.42 Ciroc (1 litre) $55.00 Page 5 of 10

6 Brandy / Cognac Bailey's Irish Cream (750ml) $22.50 $0.00 Courvoisier (750ml) $40.27 $0.00 Hennesy (750ml) $46.00 $0.00 Remy Martin Grand Cru (750ml) $68.50 $0.00 Whisky Dewar's White Label (750ml) $21.00 $0.00 Famous Grouse (1 litre) $34.00 $0.00 Jack Daniel's (750ml) $32.00 $0.00 Johnnie Walker Black (750ml) $41.00 $0.00 Johnnie Walker Red (750ml) $18.50 $0.00 Southern Comfort (1 litre) $25.00 $0.00 Tequila Patron (750ml) $31.82 Patron Silver (750ml) $66.23 Other Liquors Disaronno (700ml) $27.99 Contreau (1 litre) $42.41 Martini Rosso (1 litre) $12.34 Martini Extra Dry (1 litre) $12.34 Martini Bianco (1 litre) $12.05 Mixers / Other Margarita (1 litre) $8.25 $0.00 Wildman's Grenadine (1 Litre) $10.00 $0.00 Bardinet Grenadine (700ml) $7.72 $0.00 Pina Colada (70ml) $8.85 Mojito (70ml) $11.33 Liquor / Spirits Total 0 $0.00 Page 6 of 10

7 White Wine France Chardonnay $14.00 $0.00 Pouilly-Fume $20.00 $0.00 Savignon Blanc $14.20 $0.00 Chablis $30.00 $0.00 Italy Pinot Grigio $15.50 $0.00 Santa Christina $15.50 $0.00 New Zealand Sauvignon Blanc $20.00 $0.00 Chardonnay $18.35 Australia Chardonnay $17.00 $0.00 Sauvignon Blanc $16.60 Argentina Chardonnay Reserva $12.00 $0.00 Pinot Grigio $12.00 Chile Sauvignon Blanc $11.00 $0.00 Chardonnay $11.00 $0.00 White Wine Total 0 $0.00 Red Wine France Pinot Noir $16.00 $0.00 Beaujolais Villages $20.00 $0.00 Cabernet Savignon $16.00 $0.00 Codes du Rhone $21.00 $0.00 St Emilion $18.00 $0.00 Chile Vino Maipo Reserva $12.00 $0.00 Concha Y Toro $12.00 Malbec $17.50 Pinot Noir $8.55 Australia Cabernet Savignon/Shiraz $18.10 $0.00 Merlot $17.70 Page 7 of 10

8 Italy $0.00 Santa Christina $15.00 $0.00 Peppoli $27.00 Red Wine Total 0 $0.00 Rose Wine California White Zinfandel $13.60 France Cotes de Provence $13.10 Magali $23.70 La Cuvee Rose $10.00 Minuty (75cl) $16.00 Minuty (150cl) $43.00 Spain Rioja Rose $15.15 Italy Santa Cristina $14.52 Rose Wine Total Page 8 of 10

9 Bubbles Verve Clicquot Brut $80.00 $0.00 Verve Clicquot Rose $96.00 $0.00 Moet Brut $90.00 $0.00 Bollinger $91.50 $0.00 Laurent Perrier Brut $77.00 $0.00 Dom Perignon $ $0.00 Prosecco Satori $16.00 $0.00 Perrier-Jouet $77.00 $0.00 Ruinart $90.00 $0.00 Ruinart - Rose $ $0.00 Fantmel Prosecco $17.00 $0.00 Mionetto Prosecco $20.40 $0.00 Bubbles Total 0 $0.00 Order Total 0 $0.00 Special Order Please add the following to my order: Page 9 of 10

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