New Supplier Form

* Required fields

Supplier Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Warehouse Location*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Payment Terms*
FDA Number*
DUNS Number*
Sample Policy*
Other Sample Policy
Contact Information
Contact Name*
First Last
Email*
Phone*
Compliance Contact*
First Last
Compliance Email*
Supplier Information
Producer
Your Website
Please tell us the story of your business in 1 – 3 paragraphs.
W-9 Form - US Based Corporations Required
This form is required for US Based Corporations. Please send the completed form to your Brand Manager.
Click here to download the W-9 form
Pallet and Case Requirements
Please review the Pallet, Labeling, and Case Requirements below. If you have any questions, contact your brand manager.
Click here to view the Pallet and Case Requirements documents
Photo Gallery
Please provide us with photos of your winery/brewery/distillery/cidery, products, family members, etc. for us to use on the Regal website, point of sale materials, and social media.
These photos will be used for marketing purposes.
Accepted file types: jpg, jpeg, png, gif.
These photos will be used for marketing purposes.
These photos will be used for marketing purposes.
Accepted file types: jpg, jpeg, png, gif.
These photos will be used for marketing purposes.
These photos will be used for marketing purposes.
Accepted file types: jpg, jpeg, png, gif.
These photos will be used for marketing purposes.
These photos will be used for marketing purposes.
Accepted file types: jpg, jpeg, png, gif.
These photos will be used for marketing purposes.
Social Media
Please link your social media accounts. Ex: Instagram, Twitter, Facebook, Youtube, TikTok
Please link your social media accounts. Ex: Instagram, Twitter, Facebook, Youtube, TikTok

New Supplier Form

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New Supplier Form

Contact Information

Supplier Information

W-9 Form - US Based Corporations Required

Pallet and Case Requirements

Photo Gallery

Social Media

Wines

Beers

Spirits

2 Commerce Dr. Suite 3 Moorestown, NJ 08057