I request that the Department of Alcoholic Beverage Control grant approval for a Manufacturer/Wholesaler sponsorship at the location described below:
Indicates a required field.
Manufacturer:
Wholesaler:
E-mail Address to which this request should be returned:
Mailing Address to which this request should be returned:
Name of Event:
Date(s) of Event:
Exact Location of Event:(Name of building, park, marina, golf course, street address, town, city or county)
Organization Requesting Sponsorship:
Does the Organization hold a 501(C)(3) Tax Exempt Status? Choose One Yes No
Name of Person within Organization to contact for information:
Phone Number of Person within Organization to contact for information: ext. (e.g., 555-555-5555) Note: The phone number extension is not required.
Is this a sponsorship by manufacturer, wholesaler or both? (wholesalers may only co-sponsor charitable events with a manufacturer) Choose One Manufacturer Wholesaler Both
Description of Event:
Sponsorship Cost ($):
Description of Expenditures:
Has sponsorship contract been entered into? Choose One Yes No
Manufacturer/Wholesaler Company Name:
Indicates a required field.