Customer Information Full Name (required): Phone Number (required): Email Address (required): Malts —Please choose an option—Best Acidulated Malt 1.6-2.7° LBlack Malt 500-700° LBohemian Pilsner 1.7-2.1° LBriess Midnight Wheat Malt 550° LCBW Bavarian WheatCBW Golden LightCBW Sparkling AmberCBW Traditional DarkCMC Canadian 2 Row Malt 1.5-2.1° LCMC Superior Pilsen Malt 1.35-1.65° LCanada Malting Munich 8°L-10°LCarapils 1.3° LChocolate Malt 300-375° LCrisp Maris Otter 3.5-4.5° LCrystal 120-135° LCrystal/Caramel 70-80° LCrystal/Carastan 30-37° LFranco Belges Kiln Coffee MaltGambrinus Honey Malt 20-30° LOat Flakes 2.5° LPale Malt ExtractRahr American 2 Row 1.7-2.0 LRed Wheat Flakes 2.0° LRice Flakes 1.0° LRice HullsRoasted Barley 410-500° LRye Malt 2.3-3.8Simpsons Cara Malt 11.8-16.3° LSimpsons Crystal 60° LSimpsons Crystal Light Flagon 36-42° L —Please choose an option—kgglbsoz -+ Grind Malts: —Please choose an option—YesNoOther Mix Malts: —Please choose an option—YesNoOther Hops Note: all hops are sold in 1 oz (28 g) packages. —Please choose an option—AmarilloCascade (U.S.)CentennialChinookCitra (U.S.)ClusterColumbusEast Kent GoldingFalconers FlightFuggleHallertauHallertau BlancHallertau HersbruckerHop SocksIsomerised Hop ExtractMagnumMosaicMt. HoodNorthern BrewerNuggetPerleSaaz (Czech)SabroSabro US ™ Brand HBC 438SimcoeSummitTarget UKTettnangWarriorWilliamette —Please choose an option—1 oz2 oz3 oz4 oz5 oz6 oz7 oz8 oz9 oz10 oz -+ Yeast: Comments: Approximate Pickup Time (required): —Please choose an option—11:00 am11:30 am12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm Note: Please allow us at least one hour to prepare your order. If the selected date falls on a holiday, will process your order for the next business day for the same time.