Retailer Portal Registration Form

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Please fill out the following information in order to process your Retailer Portal account registration.

**FOR THE USE OF STATE ALCOHOLIC BEVERAGE RETAIL LICENSE HOLDERS ONLY**

Please Note: You need to have an active account with Union Beer in order to submit this form. If not, please reach out to customerservice.ub@unionbeerdist.com.

If you would like to add more than 5 account locations, please contact your Sales Representative.

Email *

Re-Enter Email Address *

First Name *

Last Name *

Phone number *

Do you currently have an account with Union Beer? *

If answer is no, please do not continue filling out this form and email customerservice.ub@unionbeerdist.com to set-up an account.

Yes

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