New Account Form 

  • NEW ACCOUNT APPLICATION

    Beechwood Sales and Service

  • Thank you for your interest in working with us. Please complete the following form in full.

    If you have any questions, please reach out to us at customerservice@beechwoodsales.com.

  • New accounts will be built within 3 business days of form submission.  If you need an order sooner, we will try to accomodate the request.  Please mark the request as urgent and let us know why.

    Any new account set ups that require next day delivery need to be submitted no later than 12:00pm to give the analyst team and operations department adequate time to build the account profile.

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  • Account Contact Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Tell us a little more about your business.

  •  - -
  • Until

  • Sell Day and Delivery Information

  • Alcohol Licensing Information

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    Choose a file
    Cancelof
  •  - -

  • Tobacco Licensing Information

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    Cancelof
  •  - -

  • Hemp Derived THC Disclaimer

  • Billing Information

  • Please provide a copy of your Wisconsin Sales and Use Tax Exemption Certificate.  Click HERE to download the form.

  • Browse Files
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    Choose a file
    Cancelof
  • Format: (000) 000-0000.

  • Retailer Portal Setup

  • You will automatically be enrolled in Retailer Portal, our online customer service portal. By clicking the submit button, you acknowledge that you are authorized from the Licensee to make electronic orders and payments for this account. You will receive an email at {email} with instructions to access Retailer Portal.

  • If you would like to add an additional user to the Retailer Portal, please click the link below:

    Retailer Portal

  • Would you like to Submit A Credit Application?

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  • Should be Empty: