Vendor Information Form
ADI offers four levels of membership for Suppliers.
1. Supplier Map Only: This is a free account. Benefits include a listing in our Annual Distillers' Resource Directory with your business' name and address.
2. Supplier: This membership costs $500/yr. Benefits include a listing in our Annual Distillers' Resource Directory with your business' name, address, phone number, main contact name, email, website and 20 word description of your business in one section. Employee linked account will receive a one year subscription to Distiller Magazine.

Advertiser and Sponsor: Contact Matt Jelen (matt@distilling.com) about membership/renewal.
3. Advertiser: Benefits include a listing in our Annual Distillers' Resource Directory with your business' name, address, phone number, main contact name, email, website and 20 word description of your business in one section. Employee linked account will receive a one year subscription to Distiller Magazine. This membership also includes advertising in Distiller Magazine.
4. Sponsor: Benefits include a listing in our Annual Distillers' Resource Directory with your business' name, address, phone number, main contact name, email, website and 20 word description of your business in all sections you would like to be listed. Employee linked account will receive a one year subscription to Distiller Magazine. This membership includes advertising in Distiller Magazine and/or a booth at the Annual ADI Conference.

This form is to add your business to the ADI database.

The business account is a master account, and controlled by a single person. Additional employee accounts can be created and linked to the main account. No employee information is published. One employee can be added through this form.

After the account is set up, satellite sales offices and additional employees can be added by logging in and editing the account on the Member Profile page.

Business Name (Published in Directory and Map) *
Your answer
Main Contact Name for the Account (Private) *
Your answer
Main Contact Email (Private) *
Your answer
Main Contact Username (Not published, viewable through website) *
Your answer
Mailing Address Street Line 1 (Private, used to mail Distiller Magazine) *
Your answer
Mailing Address Street Line 2 (Private, used to mail Distiller Magazine)
Your answer
Mailing Address City (Private, used to mail Distiller Magazine) *
Your answer
Mailing Address State (Private, used to mail Distiller Magazine)
Your answer
Mailing Address Postal Code (Private, used to mail Distiller Magazine) *
Your answer
Mailing Address Country (Private, used to mail Distiller Magazine) *
Your answer
Business Address Street 1 (for Directory and Map)
Your answer
Business Address Street 2 (for Directory and Map)
Your answer
Business Address City (for Directory and Map)
Your answer
Business Address State (for Directory and Map)
Your answer
Business Address Country (for Directory and Map)
Your answer
Business Postal Code *
Your answer
Business Email (for Directory and Map)
Your answer
Business Phone Number (for Directory and Map)
Your answer
Product/Services Category (Choose One) *
Product/Services Description
Your answer
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