Maine > Statewide > Liquor Licensing And Inspection Division
Licensed Maine Wholesalers Request For Beer And Wine Tastings - Maine
| Licensed Maine Wholesalers Request For Beer And Wine Tastings Form. This is a Maine form and can be used in Liquor Licensing And Inspection Division Statewide . |
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MAINE DEPT OF PUBLIC SAFETY STATE OF MAINE Liquor Licensing & Inspection Division 164 State House Station Augusta ME 04333-0164 Tel: (207) 624-7220 Fax: (207) 287-3424 LICENSED MAINE WHOLESALERS REQUEST FOR: BEER & WINE TASTINGS License No.: _________ Name of Licensee: _______________________________________ Mailing Address: _______________________________________________________________ Town/ City: _________________ State: _______________ Zip Code: ___________ Telephone: __________________________ Date of Event: _________________ Fax: ______________________ To: ________ Time From: ________ Number of Persons Attending: _______________ Title and Purpose of Event: _______________________________________________________ Location of Event: ______________________________________________________________ Physical Address: ______________________________________________________________ Town/City: __________________________ State: ________________ Zip Code: _________ Telephone Number: _____________ PLEASE ATTACH List of vendors participating : List of Employees serving alcohol: _____________________________________ Signature of Licensee or Corporate Officer _____________________________________ Print Name of Licensee or Corporate Officer ________________________ Date FOR USE ONLY BY DEPT. OF PUBLIC SAFETY LIQUOR LICENSING RESTRICTIONS: [] APPROVED [] NOT APPROVED DATED: ___________ APPROVED BY: _______ WholesalersBeerWineTasting / 2004 American LegalNet, Inc. www.FormsWorkflow.com
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