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New Customer Request Form

New Customer Request Form

Company Name/ DBA:*

Physical Address*

Biling Address*

Phone*

Fax

Order Contact*

Order Contact Phone*

E-mail Address*

ABC License #*

Licensee*

ABC License Expiration*

Resale Permit #*

Do you have another account with us?* Yes No

If so, Name & Account #?

*=required fields

Delivery Information

Please select requested delivery day(s) Monday Tuesday Wednesday Thursday Friday

List delivery windows below (please add the day of the week per window)

Parking restrictions?

Where is the delivery made?

Thank you for your submission, we will be in contact with you as soon as possible.

Bay Area Beverage Company
700 National Court
Richmond, CA 94804

Phone: 510-965-6120
Fax: 510-965-6323

Office Hours:
Monday – Friday 8:00am – 5:00pm

Will-Call Hours:
Monday - 12:00pm - 3:30pm
Tuesday – Friday 8:00am – 3:30pm

Current Customers:

Customer Portal

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PRODUCTS
SERVICES
JOBS
ABOUT
NEW CUSTOMER