Become A Customer
Interested in becoming a customer and having access to all the great juice in our portfolio? It’s easy!
New York State customers need only provide copies of the following:
- a valid New York State Liquor License Number
- a valid New York State Resell Certificate Number and Form (ST-120)
- a completed account profile form which you can download via the link below
This PDF file features interactive text fields you can fill out digitally, if you choose.
ONLINE CREDIT APPLICATION / ACCOUNT PROFILE FORM:
Account Profile Form (interactive form that is automatically sent to our Credit Department)
PHYSICAL CREDIT APPLICATION / ACCOUNT PROFILE FORM:
New York State Account Profile Form (interactive PDF)
Once filled out, please email, mail, or fax to the below:
Skurnik Wines
Attn: Credit Apps
100 Jericho Quadrangle
Suite 140
Jericho, NY 11753
212 273 9463 x 2401 (phone)
516 677 0497 (fax)
We will contact you within 48 hours after receiving your account profile form.
For those not located in one of our direct markets: New York, New Jersey, Connecticut, Rhode Island, Pennsylvania, Ohio, Kentucky, Indiana, or California– please give our National division a call. Requirements vary by state.
National Team: 212 273 9463 x 1999