Barrel Storm New Account Form

Thank You for your interest in carrying our products. Please fill out the following information so we can best serve you. We look forward to working with you!

Business Name *

DBA Name

License Number *

Address *

City *

State *

Zip Code *

We Sell (Please Select All That Apply): *

Draft

Packaged Goods

Brands You Are Interested In (Please Select All That Apply):

Do you use Fintech?

Yes

No

Buyer Contact Info

Buyer's Name *

Buyer Email Address *

Cell Phone *

Work Phone

Preferred Form Of Contact *

A/R Contact Info

A/R Name

A/R Email Address *

Cell Phone

Delivery Information

Deliveries Accepted On (Please Select All That Apply) *

Receiving Hours *

Receiving Lunch Hours (If Applicable)

No Deliveries After

Delivery Location (Front Door, Back Door, Etc.) *

Any Additional Information/Notes

Please Note:

1. Orders need to be placed by email no later than 4pm, the day prior to your delivery zone, to be routed.

2. Minimum delivery of One-Half Barrel or Two Sixtels or 4 cases. Exceptions are considered upon request.

3. Payment Terms

- All payments are due to be received BY their due date at PO Box 6568, Carlstadt, NJ 07072, or your account will be placed on Statewide COD.

- We do not pick up checks except during deliveries. - You are responsible to ensure your payments are received when due.

- New accounts are subject to COD status until a credit relationship is established.

4. We reserve the right to refuse delivery to any account that does not properly maintain its draft + storage systems for quality. We do not clean draft lines. All products MUST be stored cold unless otherwise noted

How Did You Hear About Us?

I have read the following information above and agree to these conditions *

I Agree