SIGN UP: Cointreau Cosmos for a Cause 2021

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For the second year, Cointreau is supporting the bar and restaurant community through the Cosmos for a Cause program. For every Cosmopolitan sold from October 15th to December 31st, Cointreau will donate a portion of the proceeds on every cocktail (up to $100K) to the Independent Restaurant Coalition, to continue to support the recovery of local restaurants and bars.

To participate, you must be 21+ and complete the form below by September 17th, 2021. By completing the form and by participating in this program, you will be helping support local restaurants and bars and will eligible for inclusion on the Cosmos For A Cause cocktail locator that can be found on www.cointreaucosmosforacause.com.

* All Fields Are Required

Name of Key Contact (first and last name) *

Email of Key Contact (if different than person submitting form)

Account Name *

Account Website (enter in this format: http://cointreau.com) *

Account Address (street address only, DO NOT enter city or state) *

Account City *

Account State *

Does your bar/restaurant currently carry Cointreau? *

# of Cosmopolitan menu listings?

Cocktail name or names (if more than one, enter each on its own line)

I agree to let a representative from Cointreau or their representatives contact me in regards to program participation *

Yes

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