Become a Customer

Keen to become a wholesale customer of ours? For those with a Liquor Licence, please fill out the application below. If you're already an existing Cerbaco customer and require your login details, please CLICK HERE

Please note that the credit card details provided below will not be used unless outstanding payments exceeds your terms. Before payment is taken from this card, you will be given several warning notices, which will allow you the chance to pay using other forms. Please contact accounts@cerbaco.com.au if you require more time to make payments.

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Type of Business *
Category *
Trading Name *
ABN *
Business Name *
Phone *
Address *
Delivery Instructions *
Proprietor's Details
Proprietor's Name *
Proprietor's Phone *
Proprietor's Email *
Contact Details
Contact Name *
Position *
Contacts Phone Number *
Email *
Bar Manager/Sommelier Name
Bar Manager/Sommelier Phone
Bar Manager/Sommelier Email
Liquor Licence
Liquor Licence Number *
Payment Details
Accounts Manager *
Credit Card Number
Credit Card Expiry
Accounts Phone *
Accounts Email *
Would you like us to use the card on file for your first payment? *
Required
Have you been in contact with a sales representative?  *
If so, please tell us who
Form Submitted by *
Date of submission *
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