Acknowledgement Box * 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 or Short-term engagements. 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 Name (Doing Business As) * Legal Name of Business Entity * (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. Year Year202520262027 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Agent Name (first and last name) * Refer to your beer or liquor license for this information. Business Federal Tax ID * Business Premise Type * On-Premise (e.g., restaurants, bars, venues) Off-Premise (e.g., retail stores, liquor stores) Will your business utilize tap lines? * Yes No Type of Establishment * 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 (Street) * Physical address on liquor license. Address deliveries will be made to. City * Physical address on liquor license. Address deliveries will be made to. County * Physical address on liquor license. Address deliveries will be made to. Liquor License issued by Municipality of: * City Town Village Municipality Name * Please refer to your liquor license. Zip Code * Physical address on liquor license. Address deliveries will be made to. Business Phone Number * Phone number at the establishment. Is the business delivery address the same as the business mailing address? * Yes, use the same address No, use a different address Attention to (optional): * Business Mailing Address (Street) * Mail to City * Mail to State * Mail to Zip Code * Owner Name * First and last name. Owner Home Address (Street) * Owner Home Address City * Owner Home Address State * Owner Home Address Zip Code * Owner Email * Owner Phone Number * Is the owner also the primary ordering contact? * Yes No Primary Ordering Contact Name * First and last name. Primary Ordering Contact Title * Primary Ordering Contact Phone * Primary Ordering Contact Email * Is the primary ordering contact also the payable contact? * Yes No Payables Contact Name * First and last name. Payables Contact Title * Payables Contact Phone * Payables Contact Email * Please select which contact(s) should receive electronic statements * 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. Owner Primary Contact Payables Contact None Other Other contact(s) that should receive electronic statements 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. * 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 contact(s) to receive a Marketplace login What is your preferred delivery time frame? * 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 (if any) (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 * 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. 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? * 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) * A member of our team will contact the email provided with the invitation. 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. * Send copy to customerservice@frankbeveragegroup.com I acknowledge that I will provide a copy of the Retail Alcohol License prior to the first delivery. Upload copy of the Retail Alcohol License now Retail Alcohol License * Files must be less than 10 MB.Allowed file types: gif jpg jpeg png pdf doc docx. 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. * Send copy to customerservice@frankbeveragegroup.com I acknowledge that I will provide a copy of the Wisconsin Resale Certificate prior to the first delivery. Upload copy of the Wisconsin Resale Certificate now Wisconsin Resale Certificate * Files must be less than 10 MB.Allowed file types: gif jpg jpeg png pdf doc docx. Credit Policy * Frank Beverage Group retains the right to extend credit terms based on the State of Wisconsin Law and internal approval. The Guarantor accepts liability for all charges due or owed to Frank Beverage Group. Prompt and faithful payment of all amounts and charges due or to come due are expected. (Please view the full Credit Policy here) I have read the credit policy Include Digital Signature? (first and last name) * I am authorized to complete this application on behalf of the company.
