Restaurant Order Form

Virginia 

This unofficial form is a request to purchase Silverback products for a restaurant in the state of Virginia. Silverback products can be purchased through Virginia ABC stores or through the distillery directly. To purchase through the distillery, use our form below. 

 

Customer Name *
Customer Name
Phone *
Phone
Restaurant Address *
Restaurant Address
*
Delivery Request
Requested Delivery Date *
Requested Delivery Date
Please fill out this form, or contact our Virginia General Manager directly at lauren@sbdistillery.com
 

Pennsylvania

This is an unofficial online form. This information gives Silverback Distillery the ability to place a "Special Liquor Order" (SLO), in the State of Pennsylvania. You, the restaurant will need to confirm the order in the LOOP system before anything is official. Please contact Silverback Distillery for a copy of our Product Sales Sheet for more information on the bottles and prices. Contact our Pennsylvania General Manager, abby@sbdistillery.com with any questions. 

Customer Name *
Customer Name
Phone *
Phone
Your Store Address *
Your Store Address
Requested Pickup Date
Requested Pickup Date
How many bottles would you like to purchase?
How many bottles would you like to purchase?
How many bottles would you like to purchase?
How many bottles would you like to purchase?
Please fill out this form, or contact our PA General Manager directly at abby@sbdistillery.com