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Retailer Portal Registration Form
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.
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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.
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