EmailMe Form - Customer / Payment Authorization

Customer Information
Business Name: *
Contact Name: *
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Contact Email: *
Contact Phone: *
Delivery Address:

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Preferred Payment Method *
Fintech.com
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Fintech.com - [no processing fee]

Fintech.com provides automated alcohol invoice payment and reconciliation services for retailers. Must have an existing account and have sent a vendor request. Vendors > Add New Vendor > Thistle Finch Distilling LLC
Your Fintech.com Location Name:
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Automatic Payment Authorization *

I authorize Thistle Finch Distilling LLC to debit my account using the payment method selected for agreed upon purchases. I understand that my information will be saved to file for future transactions on my account.
Thistle Finch Distilling LLC - 417 W. Grant Street - Lancaster, PA 17603
DSP-PA-20008 / LID 67167 / PA License Number AL5