CurrentCustomerUpdate - Alliance Beverage Distributing

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Seltzer & Malternatives

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Current Customer Update

Please enter ONLY the information that is required (marked with an * ) or that has changed. If you are a new owner please click here.

Please enable JavaScript in your browser to complete this form.

I am the *

Owner
Manager
Someone else

Current customer number, (from an Invoice) former Owner's or Business name. *

Name of the person completing the form *

First

Last

Title of the person completing the form *

If different than the owner or manager)

Email of the person completing the form *

If different than the owner or manager

Primary Contact check box

Primary Contact

New Primary Contact

Owner
Manager
Someone else

New Primary Contact *

First

Last

Business Information

Alliance Beverage Distributing Customer number *

Select the item(s) below that you want to change. (a box will appear as needed)

Check this box if this is a non-alcoholic only account

Licensee Name checkbox

Licensee Name

Name *

First

Last

Business ID checkbox

Business ID

New Business ID *

Liquor License Number checkbox

Liquor License Number

New Liquor License Number *

box Latest Business

Liquor license picture

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera

Camera Preview

3

Upload or take a picture of your liquor license.

DBA checkbox

Doing Business as (DBA) Name

New DBA Name *

Business Address checkbox

Business Address

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

County *

Different Mailing address checkbox

Mailing address (if different than business address)

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

County *

Business Phone checkbox

Business Phone #

Phone *

Description of business checkbox

Description of Business

New Description of Business *

Chain # checkbox

Chain Store # (if applicable)

New Chain Store # *

Product type checkbox

Product Types

Check only the new product types *

Package Beer
Draft Beer
Wine
Liquor
Non-Alcolholic

Number of tap Handles checkbox

Number of Tap Handles?

New number of tap handles? *

Please enter the new total number of tap handles not the number of handles that were added.

Accept delivery checkbox

Day(s) that you cannot accept a delivery

Delivery cannot be accepted on *

Monday
Tuesday
Wednesday
Thrusday
Friday

No delivery checkbox

What is the earliest time you can accept delivery?

Earlist time *

Latest delivery time checkbox

What is the latest time you can accept delivery?

Latest time *

Times to avoid

What times should be avoided?

Times to avoid *

Special delivery instructions checkbox

Any special delivery instructions?

Special delivery instructions *

We will do our best to accommodate your delivery request but are unable to guarantee the availability. Our sales representative will confirm.

Owner's Information

Owner's email checkbox

Owner's New Email

Email *

Owner's phone checkbox

Owner's New Phone

Phone *

Owner opt-out checkbox

Owner's Opt-out wishes

Owner wishes to Opt-Out of *

eoMarket login
Electronic Invoices
Pricing emails

Manager's Information

Manager Name checkbox

Manager's Name

Name *

First

Last

Manager title

Manager's Title

Manager's New Title *

Manager email

Manager's email

Manager's new email *

Manager phone

Manager's Phone #

Phone *

Additional Information

Where to send digital invoices

Change where digital invoices are sent

(if not sent to the owner or manager)

Email to sent to: *

If you would like digital invoices sent to someone other than the owner or manager, please enter that email address above.

Upload any files or pictures below.

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 10 files.

Camera Preview

3

Is there anything else we should know?

Brands

Wine
Spirits
Craft Beer
Cider & Mead
Seltzer & Malternatives

Site Map

Price
Retailers
Staff training
Consultants
Priority Health price transparency

NEED HELP?

616.241.5022

NEED SUPPORT?

MAIL@ALLIANCEBEVERAGE.COM

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