Licensed Retailer Survey | Tygart Valley Distributor

Retailer Name

Manager/Buyer Name

Physical address

Mailing address

Phone

Fax

Email for store contact

Contact Information

including email for corporate headquarters, if applicable

WV ABCA license number(s)

Facebook Account

Does this licensed retail account have a Facebook account?, if so, please enter your information.

Twitter Acount

Does this licensed retail account have a Twitter account?, if so, please enter your information.

Do we have your permission to promote your business through our website and social media channels?

Does your business have any upcoming events we may be able to help you advertise or promote?

If so, please list your event name, date and details here.

Would you like to receive price change information and other information by email?

Would you have any interest in ever submitting your order online?

It is our mission to be an excellent supplier to your retail location. Please give us feedback on how we can improve our service to you

Tygart Valley Distributor Licensed Retailer Survey