Become A Customer

Interested in becoming a customer and having access to all the great juice in our portfolio? It’s easy!

For New York, New Jersey, Connecticut, and Pennsylvania customers, all you need is a valid state license to sell wines and/or spirits along with completing the applicable account profile form which you can download from one of the links below. This PDF file features interactive text fields you can fill out digitally, if you choose.

For those not located in New York, New Jersey, Connecticut, or Pennsylvania, please give our National division a call. Requirements vary by state.
National Team: 212 273 9463 x 1999

Fill out, then mail or fax your completed account profile form and we will get back to you promptly with a response:

Skurnik Wines
Attn: All Credit
100 Jericho Quadrangle
Suite 140
Jericho, NY 11753
212 273 9463 x 2401 (phone)
516 677 0497 (fax)

We will contact you within 48 hours after receiving your account profile form.

Credit Applications/Account Profile Forms

New York State account profile form (interactive PDF)
New Jersey account profile form (interactive PDF)
Connecticut account profile form (interactive PDF)
Pennsylvania account profile form (interactive PDF)
California account profile form (interactive PDF)