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Wine Tasting At A Festival Fair Or Special Event - West Virginia
| Wine Tasting At A Festival Fair Or Special Event Form. This is a West Virginia form and can be used in Alcohol Beverage Control Commission Statewide . |
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STATE OF WEST VIRGINIA DEPARTMENT OF REVENUE ALCOHOL BEVERAGE CONTROL ADMINISTRATION 322 70th Street, SE Charleston, West Virginia 253042900 Wine Tasting at a Festival, Fair, or Special Event Pursuant to W.Va. Code ยง 6083, the undersigned farm winery requests permission to exhibit, conduct tastings, and sell wine for offpremise consumption: Name of Event: Physical Location: Event Date: Event Time: Farm Winery: ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ Farm Winery License Number: ____________________________________________________ Wine Tasting License Number: ____________________________________________________ Owner's Signature: ____________________________________________________ ************************************************************ FOR OFFICE USE ONLY Approved: Yes _____ No _____ ___________________________________ Ronald M. Moats, ABCA Acting Commissioner ___________________________________ Date (304) 5582481 "AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER" http://www.abca.wv.gov Fax (304) 5585599 LegalNet, Inc. American www.FormsWorkFlow.com
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