Country Club Off Sale Event Permit

STATE OF MARYLAND

MONTGOMERY COUNTY

Alcohol Beverage Services

APPLICATION FOR
COUNTRY CLUB OFF SALE EVENT PERMIT

The holder of a Country Club Off Sale Permit must meet all the requirements set forth in the Annotated Code of the Public General Laws of Maryland.

Application must be submitted at least seven (7) days prior to the event.

LICENSEE DETAILS

APPROVED?

YES

LICENSEE EMAIL ADDRESS*

LICENSE NUMBER*

LICENSEE NAME*

LICENSEE PHONE*

FACILITY NAME*

FACILITY ADDRESS*

Address Line 1

Address Line 2

City

State

ZIP Code

COUNTRY CLUB OFF SALE EVENTPERMIT

EVENT COORDINATOR NAME*

EVENT COORDINATOR PHONE*

EVENT COORDINATOR EMAIL ADDRESS*

EVENT DATE*

EVENT HOURS FROM*

EVENT HOURS TO*

TYPE OF WINE TO BE TASTED AND SOLD*

EVENT DOCUMENTATION

All events must submit an Alcohol Plan.

This plan should include how you will be serving/selling alcohol (bartender, sectioned off beer garden, etc.), who will be checking ID's, how drinks will be sold (tickets, cash bar, etc.), if under 21 persons are allowed to attend event, how will they be differentiated between those who are 21 years old and over.

ALCOHOL PLAN*

LICENSEE SIGNATURE

By signing this report, I do solemnly declare and affirm under the penalties of perjury, that the contents of the foregoing report are true and correct to the best of my knowledge, information and belief.

LICENSEE SIGNATURE*

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