New Beer & Cider Form

Supplier Name*

Producer*

States Available for Filing*

New Jersey
Delaware

Product Style*

Beer
Cider

Product Name*

Vintage

Supplier Product Code*

Your reference code for this product.

Country*

Region*

Beer Type*

Ale
Cider
Lager
Seltzer
Specialty

Beer Style*

Other Beer Style

Seasonal Availability

Fall
Limited Release
Seasonal
Spring
Summer
Winter
Year-round

Hop Varieties

Separate with comma

Malts

Separate with comma

IBUs

Alcohol Content (%)*

Please enter a number from 0 to 100.

Product Description*

Product "Best By" Term*

(pls provide the 'best by' in months and advise if Julien code, American calendar or European calendar dating)

Product "True Expiration" Term*

(pls provide the true expiration in months and advise if Julien code, American calendar or European calendar dating)

Production Dating*

"Best By" Date is Printed on Product or Case
"Born On" Date is Printed on Product or Case
No Date is Printed on Product or Case

Features - Check all that apply

Gluten Free
Vegan
Certified Vegan
Certified Vegan (On Label)

Kosher Status

Certified Kosher on Label
Certified Kosher (not on label)

Container*

Can
Keg
Bottle

Currency*

Package FOB Cost*

Package SRP (Suggested Retail Price)*

Keg Style*

Steel
One Way (Disposable)

Keg Deposit?*

Yes
No

Keg Deposit Price

Keg Coupler Type

Keg FOB Cost*

Keg PTR (Price to Retailer)

Container Size*

Bottle, Keg, or Can size in Liters

Case Pack*

Number of bottles per case.

Case Dimensions*

Height x Length x Width

Please specify units of measure*

Case Style*

Bottle Position*

Bottle Packaging*

Product Dividers*

Cases Per Pallet*

Tiers Per Pallet*

Cases Per Tiers*

MOQs*

Minimum order quantity per item (pls differentiate between and keg and package MOQs)

Bottle UPC Code

Case UPC Code

COLA*

I have a COLA number.
I do not have a COLA number.

If you do not have a COLA number, please reach out to your Brand Manager.

COLA #

Please provide the COLA number from the TTB.

NJ Brand Registration Agreement*

Yes, we register our brands in the state of NJ
No, I do not register my product with the state of New Jersey, and allow Regal Wine Imports to register for me at $25 per beer.

The state of New Jersey requires each individual beer to be registered with the state. The annual fee is $25 per beer.

New Jersey Brand Number

If you have registered your beer, please provide the New Jersey Brand number from the ABC.

Special notes/comments

Front Label