Connecticut > Statewide > Department Of Consumer Protection > Liquor Control Division
Request For Keg Registration Label Booklets CPKEG-01 - Connecticut
| Request For Keg Registration Label Booklets Form. This is a Connecticut form and can be used in Liquor Control Division Department Of Consumer Protection Statewide . |
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For Official Use Only CPKEG-01, Rev 7/06 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION LIQUOR CONTROL DIVISION Telephone: (860) 713-6200 Email: liquor.control@ct.gov Web Site: www.ct.gov/dcp Serial Numbers Issued: From: To: Request for Keg Registration Label Booklets I NSTRUCTIONS: Serial Numbers Issued: From: To: Serial Numbers Issued: From: To: This order form must be accompanied by check or money order for the complete fee. orders should be made payable to: "Treasurer, State of Connecticut." Name of Permittee (First Name, Middle Initial, Last Name) Checks or money Permit Number Business Name Business Street Address City State Zip Code Mailing Address (if different than above) City State Zip Code Signature of Permittee Date Number of Booklets Requested (50 labels per booklet) Cost per Booklet (includes postage) Total Amount Enclosed $6.00 each Note: You must have Keg Registration Label forms available for signing even if only selling one keg per year [ Return your completed form and appropriate fee to: + License Services Division Department of Consumer Protection 165 Capitol Avenue Hartford, CT 06106 American LegalNet, Inc. www.FormsWorkflow.com
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