CERTIFICATE OF EMPLOYMENT
The undersigned, being a holder of a
ABCC license number:
The sale of beverages hereby certifies that is employed as a salesman, and it is
agreed that immediate notice will be sent to the Alcoholic Beverages Control Commission if at any time he/she ceases to be so
employed.
I hereby swear under the pains and penalties of perjury that the information I have provided in this application is true and
accurate.
The Commonwealth of Massachusetts
Alcoholic Beverages Control Commission
239 Causeway Street
Boston, MA 02114
Title
Signature Date
(Massachusetts License Number)
(Salesman Name)
(This form must be completed and signed by an authorized signatory or representative of the wholesaler, farmer-
brewery, farmer-winery, farmer-distillery, or broker who employs this salesman as an employee.)
License Type Held
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signature
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