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Application For Sacramental Wine Permit - Nebraska
| Application For Sacramental Wine Permit Form. This is a Nebraska form and can be used in Liquor Control Commission Statewide . |
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STATE OF NEBRASKA NEBRASKA LIQUOR CONTROL COMMISSION APPLICATION FOR SACRAMENTAL WINE PERMIT Church or religious organization desiring sacramental wine permit: Premise Name:_________________________________________________________ Premise Address:_______________________________________________________ City:___________________ State:___________ Zip Code:___________________ Premise County: ______________ Premise Phone Number____________________ Email ___________________________ Federal ID# ___________________________ Contact Name:__________________________________________________________ Contact Address:________________________________________________________ City:___________________ State:___________ Zip Code:___________________ Contact County: ______________ Email ________________________ Contact Phone Number_____________________ CONTACT SIGNATURE:_________________________________________________ DATE:______________________________, 2010 Currently have permit #__________, it is lost need a new one. Do not need/utilize permit. issued___________. If you have permit indicate permit #_________, date American LegalNet, Inc. www.FormsWorkFlow.com
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