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Standard Distributing Retailer Portal Sign Up
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* Indicates required question
Name of Retail Account
*
Your answer
Retail Account ID
*
Your answer
Delivery Address #1
*
Your answer
Delivery Address #2
Your answer
City
*
Your answer
Sales Rep Name
*
Andrew Pepe
Andrew Sparco
Ben Edmonds
Brandon Nitsche
Brian Cohee
Chase Renoll
Evan Mullin
Jamie Montgomery
Max Gallo
Melanie Petrie
Melina Schmidt
Michael Fountain
Mike Arcoraci
Nic Hernandez
Steve Berchock
Tel-Sell
Veronica DeFosse
Other:
Your First Name
*
Your answer
Your Last Name
*
Your answer
Best Phone Number
*
Your answer
Best Email Address
*
Your answer
What is your role?
*
I need to be able to browse your beverage portfolio and buy products
I need to review and pay invoices
Other:
Required
Other thoughts or comments
Your answer
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