CARRIERS — TO SCHEDULE A DELIVERY TO BEER CAPITOL, VISIT
OPENDOCK.COM
(262) 932–BEER
|
WEBMASTER@BEERCAPITOL.COM
(262) 932–BEER
|
WEBMASTER@BEERCAPITOL.COM
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Company
Brand Portfolio
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MarketPlace
Retailers
Careers
Contact
Company
Brand Portfolio
Search Brands at Retail
MarketPlace
Retailers
Careers
Contact
Company
Brand Portfolio
Search Brands at Retail
MarketPlace
Retailers
Careers
Contact
Menu
Company
Brand Portfolio
Search Brands at Retail
MarketPlace
Retailers
Careers
Contact
New Customer Application
By checking the box below, you acknowledge that completing this form will initiate the new customer enrollment process.
Please
do not use this form
if you are requesting services for:
Special events
Temporary license events
Short-term engagements
For assistance with these specific needs, please contact us directly at
businessoffice@beercapitol.com
.
Acknowledge New Customer Enrollment
(Required)
I acknowledge that by completing this form, I will be enrolling as a new customer with Frank Beverage Group. I understand that I should not use this form if I am requesting services for special events, temporary license events, or short-term engagements.
Business Information
Business Name (Doing Business As)
Legal Name of Business Entity
(Required)
(e.g., LLC, Corporation, Inc.)
If known, please enter the first delivery needed by date
We will do our best to accommodate your requested date. If we are unable to meet this date, your sales representative will contact you to reschedule.
MM slash DD slash YYYY
Agent Name
(Required)
Refer to your beer or liquor license for this information.
First
Last
Business Federal Tax ID
(Required)
Business Premise Type
(Required)
On-Premise (e.g., restaurants, bars, venues)
Off-Premise (e.g., retail stores, liquor stores)
Will your business utilize tap lines?
(Required)
Yes
No
Type of Establishment
(Required)
For example: concept of beverage program/main product focus; type of location such as wine bar, tavern, restaurant, grocery store, convenience store, hotel, bowling alley, etc.
Business Address
(Required)
Physical address on liquor license. Address deliveries will be made to.
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
County
(Required)
County
Business Phone Number
(Required)
Phone number at the establishment.
Is the business delivery address the same as the business mailing address?
(Required)
Yes, use the same address
No, use different address
Business Mailing Address
Attention to (optional)
Business Mailing Address
(Required)
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Owner Information
Owner Name
(Required)
First
Last
Owner Email Address
(Required)
Owner Phone
(Required)
Owner Address
(Required)
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Is the owner also the primary ordering contact?
(Required)
Yes
No
Is the owner also the payables contact?
(Required)
Yes
No
Primary Ordering Contact
Primary Ordering Contact Name
(Required)
First
Last
Primary Ordering Contact Title
Primary Ordering Contact Email
(Required)
Primary Ordering Contact Phone
(Required)
Is the primary ordering contact also the payables contact?
(Required)
Yes
No
Payables Contact Information
Payables Contact Name
(Required)
First
Last
Payables Contact Title
Payables Contact Email
(Required)
Payables Contact Phone
(Required)
Electronic Statements
Do you want to recieve electronic statements?
(Required)
Electronic statements will be sent bi-weekly from a system-generated email. You may choose to change the frequency in which you receive electronic statements by consulting with your sales representative.
Yes
No
Please select which contact(s) should receive electronic statements
(Required)
Owner
Primary Contact
Payables Contact
Other
Other emails to receive electronic statements
(Required)
Please separate multiple emails with commas.
Marketplace - Account Management Portal
In addition to your assigned sales rep, we will provide access to Marketplace, our online Account Management Portal. Please select the contacts to receive a Marketplace login. A single login can be used for multiple businesses; consult your sales rep for more details.
(Required)
The provided emails will be linked to your Marketplace login, and a temporary password will be assigned to your account. Once we receive all the required materials from you, we will set up your account. You will receive an email from our team when your account has been created.
Owner
Primary Contact
Payables Contact
Other
Other email to access the Marketplace
(Required)
Delivery Preferences
What is your preferred delivery time frame?
(Required)
Please note that this is based on availability. We will do our best to accommodate your requested time frame. You can also consult with your sales representative for any changes in the future. (e.g., 8am - 11am)
Please enter delivery instructions
(Required)
(e.g., Deliver to the side door)
By checking the box below, you acknowledge your agreement to the terms outlined in our Delivery Signature Policy.
(Required)
Delivery Signature Policy: In situations where someone may not be available to receive the product upon delivery, either a door is left unlocked or a key is provided to a representative from Frank Beverage Group. The invoice is marked as charged but is left without a signature. If any discrepancies are identified, we will notify Frank Beverage Group within 48 hours of delivery. If Frank Beverage Group does not receive any communication from us within this time frame, they may consider the delivery as accepted as invoiced, and payment will be made in full within our credit terms.
I acknowledge and agree to the terms outlined in the Delivery Signature Policy.
EFT Payment Option
Frank Beverage Group is pleased to offer Electronic Funds Transfer (EFT) as a payment collection option at no additional cost to you. EFT is a safe and secure payment process solution that utilizes the latest technology to electronically transfer payments from one account to another. Would you like to enroll in the EFT payment process?
(Required)
Here's how EFT works:
With your completed enrollment, Frank Beverage Group will automate the payment process based on the invoice totals for the deliveries. Your signature on the invoice left at the time of delivery signifies that you have received the products indicated. Once delivery has occurred, payment for the amount indicated on the invoice will process automatically on your behalf. The payment process will take place according to the invoice terms.
No Cost
Quick and easy sign-up
Fast Deliveries
Eliminates paying with cash, checks or money orders
Available for customers with 1-3 delivery locations only
Send me an invitation to enroll in EFT
Not interested in EFT at this time
Please provide the email address for Electronic Funds Transfer (EFT)
(Required)
A member of our team will contact the email provided with the invitation.
Retail Alcohol License
By checking the box below, you acknowledge that you are required to provide a copy of the Retail Alcohol License prior to the first delivery.
I want to upload a copy now.
I acknowledge that I will provide a copy of the Retail Alcohol License prior to the first delivery.
Upload Your Retail Alcohol License
(Required)
Upload your Retail Alcohol License in .pdf, .jpg or .jpeg format
Accepted file types: pdf, jpg, jpeg, Max. file size: 25 MB.
Wisconsin Resale Certificate
By checking the box below, you acknowledge that you are required to provide a copy of the Wisconsin Resale Certificate prior to the first delivery.
(Required)
I want to upload a copy now.
I acknowledge that I will provide a copy of the Wisconsin Resale Certificate prior to the first delivery.
Upload Your Wisconsin Resale Certificate
(Required)
Upload your Wisconsin Resale Certificate in .pdf, .jpg or .jpeg format
Accepted file types: pdf, jpg, jpeg, Max. file size: 25 MB.
Credit Policy
As a new customer with Beer Capitol credit terms are COD for the first 90 days. After 90 days the credit terms are evaluated at the request of the customer and possibly extended to 7 or 15 days.
View Credit Policy
I have read Beer Capitol's Credit Policy and Agree to comply with it.
Name
(Required)
First
Last
New Customer Application Submission
I am authorized to complete this application on behalf of the company.
Name
(Required)
First
Last
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.
NOTICE
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