Nc distribution form 2026

1. Click ‘Get Form’ to open the nc distribution form in the editor.
2. Begin by entering the effective date at the top of the form. This is crucial for record-keeping.
3. Fill in the Supplier Information section, including N.C. Permit No., Supplier’s Name, Address, and Phone Number. Ensure accuracy as this information is vital for compliance.
4. Indicate whether you ship more or less than 1,250 cases into North Carolina each year by selecting the appropriate option.
5. Complete the N.C. Distributor Information section with similar details: N.C. Permit No., Trade Name, Address, and specify the Brand to be Distributed.
6. For county assignments, mark 'P' for partial or 'E' for entire as applicable. If indicating partial counties, attach a description on a separate sheet.
7. Both wholesaler and supplier must sign where indicated to validate the agreement before submission.
8. Finally, submit your completed form to our office and keep copies for your records.

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