Peronal Details
Title and Full Name:
Full Address:
Telephone Number:
Email Address:
Type of Ambassador Copper AmbassadorGold AmbassadorRí Ambassador
Preferred Cask Wood Selection (Gold Ambassadors only) First Fill BourbonWineFortified Wine
Payment Electronic Funds TransferAlternative payment option
On receipt of application, we will contact you directly to arrange transfer of funds.
By ticking this box and applying to purchase this/these cask(s), I confirm that I have read and agree to the Terms and Conditions of The Lough Ree Distillery Ambassador Programme.
Please verify that you are over the legal drinking age in your country of residence
