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Tiktok
Youtube
Home
about us
shop now
locate stores
Calendar of Events
Events
Tastings
Home
about us
shop now
locate stores
Calendar of Events
Events
Tastings
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wholesale
RELATIONSHIP AGENT – NEW ACCOUNT & ORDER SUBMISSION
Agent Name
Territory
A. Account Information
Account Name (Legal)
DBA
Store / Venue Address
Primary Contact Name
B. Business Information
Title
Email
Business Phone
Cell
Florida BEV Liquor License#
License Photo Attachment
C. Delivery & Special InstructionsEnter a Label
Requested Delivery Day(s)
Delivery Window (4 hrs)
to
Special Instructions
D. Initial Order Summary
Total Cases
Send
Age Verification
ARE YOU
21+
YEARS OF AGE ?
Click
Yes
verify your age to get started with
Potieri Cocktail.
Yes
or
No
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