Customer Service

Questions or Concerns?

Customer Service Request Forms

Please fill out one of the forms below and your request will be directed to the correct department. Empire Merchants will respond within two business days.

For immediate assistance please call (800) 441-5614

General Customer Service
COD Requests

General Customer Service

Submitted By *

Email: *

Customer Number *

Customer Phone Number

Problem *

Action *

Order # *

Order Type *

Invoice # *

Invoice Date *

Item # *

# of Broken Bottles *

Item # shorted *

Quantity shorted *

Action *

Order # *

Order Type *

Invoice # *

Invoice Date *

Item # *

Quantity (cases or bottles) *

Item # shorted *

Quantity shorted *

Action *

Order # *

Order Type *

Invoice # *

Invoice Date *

Item # Billed For *

Quantity (cases or bottles) *

Item # received *

Quantity *

Action *

Order # *

Order Type *

Invoice # *

Invoice Date *

Item # Billed For *

Quantity *

Action *

Order # *

Order Type *

Invoice # *

Invoice Date *

Item # Shorted *

Quantity Shorted *

Action *

Invoice # 1*

Invoice Date 1 *

Invoice # 2 *

Invoice Date 2 *

Action *

Invoice # *

Invoice Date *

Item # *

Invoice # *

Invoice Date *

Invoice # *

Invoice Date *

From:

To:

Comments

COD Requests

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Questions or Concerns?