1
ONE DAY ALCOHOLIC BEVERAGES LICENSE APPLICATION
To the Licensing Authorities of Acton:
The undersigned hereby makes application for a one day liquor license, in accordance with the provisions of the
General Laws, and amendments thereto.
It is strongly recommended that the application and fee be submitted to the Town Manager’s Office no later
than 3 weeks prior to the event date.
Wine/Malt Only: $25.00, non-refundable Payable to: Town of Acton, check only
Name of Applicant/Organization: ________________________________________________________
Location of Event: _____________________________________________________________________
Name of Owner on Premises: ____________________________________________________________
1. Name and Description of Event: _______________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2. Event Date: _______________________________________________________________________
3. Hours of Event (from/to): ____________________________________________________________
4. Expected number of people: __________________________________________________________
(if over 50 guests, a TIPS or equivalent trained bartender is required with proof of certification accompanying the application for file)
5. Age range of attendees: ______________________________________________________________
Name of person making application: ____________________________________________________
Residential Address: _________________________________________________________________
Business Address: ___________________________________________________________________
Home Telephone: _______________________________ Business/Cell: __________________
Email: _____________________________________________________________________________
