New Alcoholic Beverage Retailers Permit Application Page 3
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13SUPPLEMENTAL INFORMATION
ON-PREMISES PERMIT APPLICANTS ONLY
NOTE: Hotel, motel, bed-and-breakfast inns, and similar applicants must
complete Section I, On-premises Retailer Club applicants must
complete Section II, in addition to the STATEMENT OF OWNERSHIP.
SECTION I
A.
Name of business ______________________________________
B.
Type of business _ hotel/motel _ restaurant _ other _______
If hotel/motel, number of rooms _________ Population of city ______________
C.
General manager ______________________________________
Home address ________________________________________
(street/ p.o. box)
(city)
(state)
(zip)
D.
Restaurant manager ____________________________________
Home address ________________________________________
(street/ p.o. box)
(city)
(state)
(zip)
E.
Beverage sales manager ________________________________
Home address ________________________________________
(street/ p.o. box)
(city)
(state)
(zip)
F.
Does the hotel/motel or restaurant described in this application
meet the statutory definition of same as found in S. 67-1-5, (l) or
(m), MCA 1972?
_______ If "no", explain fully: ____________
_____________________________________________________
SECTION II--ON-PREMISES RETAILER CLUB
Complete in addition to the STATEMENT OF OWNERSHIP.
A.
Name of club
__________________________________________
B.
Date of organization’s founding ___________________________
C.
If an association, list name and address of national organization.
_____________________________________________________
_____________________________________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial