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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

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