New York state Customer Sign-Up

You run a shop, bar, or restaurant in New York State. You care about the booze you sell. You are a fan of what we carry and want to stock it in your place of business. Here’s how we get that process started.

Fill out the form below. Once submitted, download and complete the ST-120 Resale Certificate HERE. Have the ST-120 Re-sale PDF filled out and ready to submit.

A representative will be in touch to get your paperwork filed and verified.

Liquor License

EIN #

Account Name / DBA

Legal Name

Account Address

Buyer / Contact Name

Buyer / Contact Phone (or Ship to Phone)

(###)

###

####

Buyer / Contact Email

Line

Billing Contact Name

Billing Phone

(###)

###

####

Billing Email

Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Delivery Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Delivery Instructions

Trade References

Bank References

Referring PM Spirits sales rep

required

I certify that I am authorized to sign and submit this application for and on behalf of the applicant. By signing this application, applicant agrees that all sales to applicant shall be subject to the standard terms and conditions of sale.

I AM AUTHORIZED TO SIGN

REMINDER: complete the ST-120 Resale Certificate HERE. Have the ST-120 Re-sale PDF filled out and ready to submit.

A representative will be in touch to get your paperwork filed and verified.