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: If you would like to report more than 5 account locations, please contact your customer service representative.
* Required
Do you have an existing account with Craft Beer Guild of CT?
*
Yes
No
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Sales Representative's Name
(If you already have an account with Craft Beer Guild of CT. Leave blank if unknown.)
Your answer
Does your account operate on a seasonal basis?
*
Yes
No
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