New Account Request Information

Thanks for your interest in becoming a Country Malt Group customer. We would welcome the chance to supply your business with our products.

Please follow the link to the application below. If you would like to use a Credit Card for payments please write CCARD in the space for Amount of Credit Requested. Please return your completed forms via e-mail attachment to or fax to 360-669-6790.

Please include a copy of your Business License, Resellers Permit (if required by your state) along with a copy of your TTB Brewers Notice or TTB application if you are a brewery (United States only).

Account Request Form.PDF>