New Account - Freefall Sangria

Please complete all of the steps below to open your new account with
Freefall Sangria
If you have any questions please do not hesitate to call our offices at
845.419.3393

Items needed to submit your application:
– Liquor license (digital copy): a picture or scanned copy
– A completed resale certificate for your state. Download below
– New Jersey
– New York

Please have these items available before starting your application process below.

New Account Sign Up

Principal *

First

Last

Corporate Name *

DBA *

Liquor License Number *

Tax ID Number *

Buyer Contact Name *

Buyer Contact Phone *

Delivery Address *

Address Line 1

Address Line 2

City

State

Zip Code

Delivery Notes

Billing Contact *

Billing and Delivery Address are the Same

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Billing Email *

Please note: If Trade and Bank References are left blank, all deliveries will be COD, no credit will be allowed.

Trade References

Bank References

Liquor License and Resale Certificate Upload *

Click or drag files to this area to upload. You can upload up to 3 files.

Click or Drag the files that were identified in the application completion instructions here.

Electronic Signature

I certify that I am authorized to sign and submit this application for and on behalf of the applicant. By signing this application, applicant agrees that all sales to applicant shall be subject to the standard terms and conditions of sale.

Date

883611480