Order And Permit Form For Transportation Of Alcohol Page 2

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ACCEPTANCE OF ORDER BY BOARD
Subject to acceptance on the part of ____________________________________________________________ (Vendor)
and the authentication of this order by the Board, the foregoing is accepted, without obligation or responsibility except as to
passage of title from vendor to the Board and contemporaneously from the Board to the vendee at such time as, under the
law of contracts applicable, title will pass, under the terms of the foregoing contract from the vendor to the Board and
contemporaneously from the board to:
_________________________________________________________________________________________ (Vendee)
This acceptance shall not be valid until the order to the vendor is authenticated by the Board as
provided in Section 10 of the Virginia Alcoholic Beverage Control Act.
Given under the hand of the Board this ____________ day of ________________________________________
(Month)
(Year)
Virginia Alcoholic Beverage Control Board
By:
_________________________________
Title:
_________________________________
ACCEPTANCE BY VENDOR
Permittee Number: __________________
The foregoing order is hereby accepted and the foregoing terms of contract are agreed to, by the undersigned this ________
day of __________________________________
Vendor: __________________________________________
(Month)
(Year)
By:
_______________________________________________
Title:
_______________________________________________
AUTHENTICATION OF ORDER BY THE BOARD
Permit Number: ___________________
To:
____________________________________________________________________________________________
(Vendor and Address)
You are directed to ship to the Virginia Alcoholic Beverage Control Board for the account of
_____________________________________ at ____________________________________________________ Virginia
(Permittee)
(Address of Permittee)
Any orders executed by the Permittee, up to and including the amount set forth in this contract, within the calendar year of the
date of this order, subject to all the terms and conditions therein set forth.
Authenticated By: ________________________________________
Revised 11-18-2015
(Authorized Representative of the Board)

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