Apply to Become a Client/Reseller

Please note: Wine Galaxy Wine Incentive Programs are strictly sold to the gifting and incentives industry. Our wines and wine programs are not sold to individuals. If you are interested in becoming a Wine Galaxy, Inc. client/reseller, please complete the form below. Wine Galaxy, Inc. reserves the right to approve or decline customer registration.

New Customer Registration Form

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The above information is submitted for the purpose of establishing a business account with Wine Galaxy, Inc. in order to purchase Wine Galaxy, Inc. products. If 30-day credit terms are desired, we hereby authorize Wine Galaxy, Inc. to contact any banks, financial agencies, or credit reporting agencies, and any references necessary concerning our credit worthiness. It is agreed that all orders are subject to the approval of Wine Galaxy, Inc. and that Wine Galaxy, Inc. may hold orders on any/all past due accounts. I/We agree to pay all Wine Galaxy, Inc. invoices within 30 days of the date on the Wine Galaxy, Inc. invoice. I/We agree to pay according to these Terms and Conditions established for this businesss.