Business Purchase Intake Form

If you are a business looking to purchase our honey liqueur to sell in your restaurant, bar, or other business, please fill out the form below and include your Name, Business Name, Address, Liquor License, Email, Phone Number, and whether you will be picking up your order, or if it will need to be shipped. This is for businesses only that have a valid liquor license. After you fill the form out, we will get back to you with pricing and delivery options available. If you have any questions, please email info@fermedicausa.com and we would be happy to help. Thank you for your business!

Honey Liqueur from Slovenia at FerMedicaUSA
Contact First Name*
Contact Last Name*
Business/Company Name*
Liquor License*
Email*
Phone Number*
Business Address Line 1*

Business Address Line 2

City*
State*
Zip Code*
Approximately How Many Cases Do You Need?*
Delivery or Pickup*
Delivery in State of MODelivery out of State of MOPickup
Other Notes or Info: