Form Abc-1001 - Application For Brand Registration And Label Approval Page 6
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6Kansas Department of Revenue
Alcoholic Beverage Control Division
915 S.W. Harrison Street, Room 214
Topeka, KS 66625-3512
Phone: 785-296-7015 Fax: 785-296-7185
SECTION 3 - BRAND REGISTRATION AND LABEL APPROVAL REQUEST
19
– __ __ __ – __ __ __ __ – __ __
Kansas Supplier Permit Number:
Distributor Name(s):_________________________________________________________________________________________________________________
CONTAINER INFORMATION
TTB ID #
BRAND NAME
LABEL DESCRIPTION
(Enter N/A if not required).
*PRODUCT TYPE – Enter the number code in the “PRODUCT TYPE” field above:
**CONTAINER TYPE EXAMPLES – Enter the appropriate
abbreviation in the “CONTAINER TYPE” field above or add your
1=Alcohol/Spirits
5=Cereal Malt Beverage (3.2% ABW and less)
2=Light wine (14% and less)
6=Strong Flavored Malt Beverage (greater than 4% ABV)
own abbreviation and provide explanation:
BTL
CAN
PL BTL
CP=Combo Pack
3=Fortified Wine (14.1% and greater)
7=Weak Flavored Malt Beverage (4% ABV or less)
4=Beer (greater than 3.2% ABW)
LNNR ALLN
KEG
VAP=Value Added Pack
PET
LN
POUCH
TVLR=TRAVELER
Clear Form
ABC-1001 (Rev. 9.24.12)
Page 6 of 6
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