Referral

Referral form

* Indicates required field

How did you hear about St. Stan's? *

Internet Search Advertisement Social Media Friend (please provide Friend's Information) Other

If Other please specify: *

What is your age? *

21-25 26-35 36-50 Over 50 Prefer not to say

Friend's Name? *

Friend's Email? *

Did you make a Purchase? *

Yes No

Receipt Number? *

Youir Email *

What is your household income? *

Less than $10,000 $10,001 - $25,000 $25,001 - $40,000 $40,001 - $70,000 $70,001 - $100,000 Greater than $100,000 Prefer not to say

Submit

TUE - Closed
WED - 4pm to 9pm
THU - 4pm to 9pm
FRI - 4pm to 9pm
SAT - 4pm to 9pm
SUN - Closed
MON - Closed

(209) 284-0170
St. Stan's Taproom
1028 11th St.
Modesto, CA
95354

info@ststans.com

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