New Supplier Form

* Required fields

Supplier Name*
Supplier Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Warehouse and Logistics
Warehouse Pickup Location*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Warehouse / Logistics Main Point of Contact Name*
First Last
Warehouse / Logistics Main Point of Contact Email*
Warehouse / Logistics Main Point of Contact Phone
Lead Time for ordering*
MOQ for ordering, if applicable
Minimum Order Quantity
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
I have read the Pallet and Case Requirements*
- I have read the Pallet and Case Requirements
Accounting
Accounting Contact Name &Title*
First Last Title
Accounting Contact Email
Payment Terms*
We request 45 days for local pickup (United States) and 60-90 days for International pickup
Preferred Currency for Payment*
FDA Number*
DUNS Number*
Sample Policy*
Other Sample Policy
Supplier Contact Information
Contact Name*
First Last
Email*
Phone*
Compliance Contact*
First Last
Compliance Email*
Producer Information
Producer(s)
Your Website
Please tell us about 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 or attach it here.
File
Max. file size: 2 GB.
Click here to download the W-9 form
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.
File
Drop files here or

Accepted file types: jpg, jpeg, png, gif, tiff, pdf, Max. file size: 50 MB.
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.
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 & Marketing Assets
Social Media Accounts
Please link your social media accounts and/or marketing assets folder. Ex: Instagram, Twitter, Facebook, Youtube, TikTok
Social Media / Marketing Contact
First Last
Email

New Supplier Form

Back

New Supplier Form

Warehouse and Logistics

Pallet and Case Requirements

Accounting

Supplier Contact Information

Producer Information

W-9 Form - US Based Corporations Required

Photo Gallery

Social Media & Marketing Assets

Wines

Beers

Spirits

Sakes

2 Commerce Dr. Suite 3 Moorestown, NJ 08057