Montana Form Avp-2 - Montana Vendor Permit
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2MONTANA
AVP-2
Rev. 09-09
Montana Vendor Permit
Section 1 – General Information
Vendor Name __________________________________________ FEIN _____________________
Contact Person ___________________________________________________________________
Telephone __________________________________Fax _________________________________
Location of Principal Place of Business _________________________________________________
(Street Address, City, State and Zip Code)
Mailing Address ___________________________________________________________________
(Street Address, City, State and Zip Code)
Section 2 - Type of Transaction and Fees
(This permit needs to be renewed on an annual basis by September 30)
Check the type of transaction(s) below:
Office Use Only
New Vendor Permit
Registration of Representative
Amount Paid $ ____________
Amount Owed $___________
$100
New Permit Fee
Permit Number
________________________
$25
Representative Fee (For each representative)
Account Number
________________________
Total Amount Enclosed $ ____________
Vendors seeking to have their products promoted in the state of Montana are required to hold a
current Montana Vendor’s Permit. In addition, the vendor is required to employ and register at least
one person, and may employ and register two additional persons to promote the sale of the vendors’
products in Montana. Persons seeking registration to promote products for vendors need to be a
resident of the state.
Section 3 – Question
Does your organization directly, or indirectly, have a financial interest in any Montana licensed
alcoholic beverage retailer or agency liquor store either individually or as a partner, offi cer, director,
shareholder or employee?
Yes
If “yes,” please explain ________________________________________________
No
A manufacturer cannot have any financial ownership or operational control in an agency liquor store
or any retail liquor license.
Montana Vendor Permit
Page 1
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