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 email@example.com or fax to 503-914-1711.
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).