Retailer Portal Request
It may take up to 2 business days for us to verify and create your account.
With any questions, please contact the office at 570-343-2454.
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Retailer Account Name *
Liquor License Number
If applicable.
Retail Account Number *
This is the 5 digit code located on an invoice (i.e.: 12345)
Delivery Address *
City *
Zip Code *
Requestor Name *
(First and Last Name)
Preferred Contact Number *
Email Address *
LTV Sales Representative Name (if known)
Enter 1234 to make sure you are human. *
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