Craft Collective Homegrown New Customer Form
Name*
State*
Legal Business Name*
Doing Business As (DBA) Name*
Federal Tax ID/EIN #*
Sales Tax #*
Liquor License #*
Liquor License Expiration Date*
Do you sell products for consumption ON your premises (e.g., a bar or restaurant) or OFF of your premises (e.g., a package store or grocery store)?*
Instagram Handle
Billing Contact
Name*
Phone Number*
E-mail Address*
Address*
City*
Zip Code*
Is Delivery Address the same as Billing Address?*
Delivery Address*
City*
Zip Code*
Is Billing Contact the same as the Sales Contact?*
Sales Contact
Name*
Phone Number*
E-mail Address*
Delivery Information
Receiving days and hours*
Instructions to provide for delivery driver?*
Are you interested in Term Sync?
What payment type does your business use?*
Review our terms
Submit