Liquor License Contact Information
Completing the following information for our records will ensure you
receive mailings and will also enable us to communicate via email or
phone if needed.
Business Name: __________________________________________
Contact Name: __________________________________________
Physical Address: ________________________________________
Mailing Address: _________________________________________
Business Phone: _________________________________________
Cell Phone: _____________________________________________
Alternate Phone: _________________________________________
Email: __________________________________________________
Contact Preference: Mail ______ Email ______ Phone ______
If different from contact above:
Agent Name: _____________________________________________
Agent Phone: _____________________________________________
I would like my license(s):
________ Mailed to the above mailing address
________ Held at City Hall
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