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Contact Information:
First Name*
Last Name*
Email*
Phone*
Event Information:
Event Name*
Event Date*
Street Address of Event
City*
Zip Code*
Start Time*
End Time*
Have you applied for ABC License?*
ABC License Number*
If you have ABC License please upload below.
Estimated Number of Attendees*
Number of beer selling locations*
Will you be selling additional alcohol?*
Will you require ice?*
Will you require 16oz cups?*
Is your event state tax exempt?*
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You will need to submit a copy of your current State Tax Exemption Letter. Please upload below.
Additional requirements or needs for your event:
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