New Supplier Form

1. New Supplier Info

Date

New Supplier Name(Required)

Address

Street Address Address Line 2 City State ZIP Code

Proposed Billing Terms(Required)

Billing Method(Required)

Check (Default)

ACH Payments (Requires Approval)

Please reach out to AP@Hensley.com to request approval for ACH Payments. By default, your account will be set up with default payment method of Check.

Hensley Brand Manager Email(Required)

Please list the email for the Hensley Brand Manager who has approved this Supplier setup. Must end in "@Hensley.com"

***Supplier Contact Information is on a different tab - This space below is for the Hensley Brand Manager email who will approve your New Supplier setup.***

Liquor License & W-9 Upload

Upload W-9(Required)

Max. file size: 50 MB.

Upload Liquor License

Max. file size: 50 MB.

No Liquor License Document to Upload‎

I do not have a Liquor License Document to Upload‎

Liquor License State

Liquor License Number

Liquor License Expiration Date

3. Submitter Contact Info

Supplier Contact Name(Required)

Supplier Contact Phone

Supplier Contact Email(Required)

Would you like to receive a copy of this submission?

Yes

No

1. New Supplier Info

Liquor License & W-9 Upload

2. Keg/Pallet Returns & Walmart

3. Submitter Contact Info

HOW CAN WE SERVE YOU?

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