Licensing Responsibility Course Certification
Which Licensing Responsibility Course Did You Complete?
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Please Select
Brewer’s License (BW) and Self-Distribution License (SD)
Distiller’s and Rectifier’s Permit (D)
Winery Permit (G)
General Distributor’s License (BB) and Branch Distributor’s License (BC)
Wholesaler’s Permit (W)
General Class B Wholesaler’s Permit (X)
Mixed Beverage Permit (MB)
Wine and Malt Beverage Retailer’s Permit (BG)
Wine and Malt Beverage Retailer’s Off-Premise Permit (BQ)
Retail Dealer’s On-Premise License (BE)
Retail Dealer’s Off-Premise License (BF)
Private Club Registration Permit (N)
Private Club Wine & Malt Beverage Permit (NB)
Nonprofit Entity Temporary Event Permit (NT)
Package Store Permit (P) and Local Distributor’s Permit (LP)
Wine-Only Package Store Permit (Q)
Name
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First Name
Last Name
Business Trade Name
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Business Location Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Attestation
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Signature
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Clear
Date
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Month
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Day
Year
Date
Please verify that you are human
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Submit
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