Vendor Registration Forms

Wines and spirits sold in the state of Mississippi must be sold through the Alcohol Beverage Control Division of the Department of Revenue.

Mississippi statute grants the Department of Revenue the sole right to import and sell wines containing greater than 5% alcohol by weight and distilled spirits containing greater than 4% alcohol by weight at wholesale within the state.

The forms below are provided for the purpose of registering as a supplier of alcoholic beverages to the Mississippi Alcohol Beverage Control and should be submitted to the Mississippi ABC Purchasing Department, P.O. Box 540, Madison, MS 39130-0540.

• Register the person employed by the supplier who is most directly responsible for the supplier’s activities in the state of Mississippi. This person must be a full-time employee of the supplier or an officer of the supplier company.
  • Registration of Manufacturers Representative or Control States Manager
• The supplier’s registered representative/Control State Manager may authorize persons to work for the manufacturer within this state; each of whom must be registered with the Alcoholic Beverage Control Division.
  • Registration of Manufacturers Employees/Brokers Workers in State
  • A list of Vendor Representatives and Brokers currently registered in Mississippi
• This form is due by February 1st each year.  Send original and $5.00 fee to Office of the Mississippi Secretary of State, mail copy to the Mississippi ABC, attn: Purchasing Depart.
  • Statement of Monies Paid
• State law requires that an agent for the service of process with the State of Mississippi be appointed. 
  • Resolution Designation Mississippi Agent Under MS Code
  • Power of Attorney
• Mail original, along with $10.00 fee to Office of the Mississippi Secretary of State, mail copy of registration to the Mississippi ABC - attention Purchasing Department. 
  • Registration with Secretary of State Office 
• A supplier must submit a bailment agreement to the ABC Purchasing Department to participate in the bailment program.
  • Bailment Agreement
• Federal Tax Identification Number is required.
  • W9
• Please provide ABC with the appropriate e-mail addresses in order that we may send you purchase orders.
  • Purchase Order Routing Information Request
• Product Registration
  • Use Standard Quotation and Specification Form [ PDF ] [ Excel ]
  • Bottle Label or image of Bottle Label must accompany Standard Quotation and Specification Form.

• The Mississippi ABC is now sending all bailment payment vouchers via email. Please provide ABC with the appropriate e-mail addresses by completing the "Bailment Payment Voucher E-Mail Authorization Form".
  • Bailment Payment Voucher E-Mail Authorization Form

• Mississippi requires all vendors, unless specifically exempt, to be paid via the PayMode electronic payment solution. 

Vendors have sixty days from becoming a vendor of the State of Mississippi to register for PayMode.  After this period has expired, the Mississippi Department of Finance and Administration will not process payments from the Mississippi Alcohol Beverage Control to the vendor. 

To enroll:  www.bankofamerica.com/paymode/mississippi/ .  The telephone number for PayMode is 1(877)443-6944 if additional assistance is needed.

Vendors who choose to file for an exemption must complete "Mandatory E-Payment Exemption Request" form.  Please mail the form to the following address, or fax to the Mississippi Department of Finance and Administration at (601) 359-3896.  

        Mississippi Department of Finance and Administration

        Office of Fiscal Management

        Attention:  Leila Malatesta

        501 North West Street

        Suite 701

        Jackson, MS 39201