New Customer Application

Full Name *

DBA *

Business Start Date *

Month

Day

Year

Address *

City *

Phone *

State *

Zip Code *

Tax ID / Resale # *

Liquor License # *

Liquor License Expiration Date *

Month

Day

Year

Buyer Contact Information

Buyer Full Name *

Buyer Phone *

Buyer Email *

Buyer 2 Full Name (if applicable)

Buyer 2 Phone

Buyer 2 Email

Accounts Payable Contact Information

Full Name *

Accounts Payable Phone *

Accounts Payable Email *

Delivery

Delivery Address *

Delivery City *

Delivery State *

Delivery Zip Code *

Delivery Notes *

Trade Reference 1 *

Trade Reference 2 *

Trade Reference 3 *

Bank Reference *

Bowler Sales Rep *

Documentation

Liquor License *

Files must be less than 20 MB.
Allowed file types: jpg jpeg png tif txt rtf pdf doc docx.

W9 *

Files must be less than 2 MB.
Allowed file types: jpg jpeg png tif pdf doc docx.

Resale Certificate *

Download the form here: New York New Jersey
Files must be less than 2 MB.
Allowed file types: jpg jpeg png tif pdf doc docx.

Leave this field blank

Bowler Wine

NYC Wine Spirits Importer Distributor

New Customer Application