NY CAURD licensee account registration

"*" indicates required fields

>OCM-AUCR-22-[ex. 000123]
Address*
Days of Operation
Check all that apply.
Opening Hours
:
Closing Hours
:

Lead Manager/Buyer Contact

[e.g., "No deliveries past 6:00 PM"]
[If you do not accept delivery of orders through the front door, please provide a detailed description of your delivery door's location.]

Delivery Notification Required in Advance?

[Please provide us with the name/number of your intake manager if you require a heads-up.]