Alabama Alcoholic Beverage Control Board Law Enforcement Division 2715 Gunter Park Drive West Montgomery, AL 36109 Phone: 334-213-6300 Fax: 334-213-6322 ADVERTISING PROMOTIONS APPROVAL REQUEST FORM Date Completed: _________________ I, ____________________________________________________________ a representative of ______________________________________________ Manufacturer, request approval for the promotion listed as (Name of Event) ________________________________________________ Date(s) Covered: _______________________________________________________________ Prize(s): ______________________________________________________________________ ______________________________________________________________________ In order to receive a response you MUST complete and return this form along with all of the required attachments listed below: Submission of ALL advertising and promotional items is still mandatory. Prior to dissemination the item(s) must be filed and approved by the ABC Board Enforcement License Section. 1. Is there any type of purchase necessary to participate in this promotion? YES ____ NO ____ 2. Is the required purchase that of an alcoholic beverage? YES ____ NO ____ N/A ____ 3. Do you have to be 21 or older to enter? YES ___ NO ____ 4. Are alcoholic beverages awarded as prizes? YES ___ NO ____ 5. Are refund coupons awarded that offer cents-off which require or induce the purchase of alcoholic beverages? YES ___ NO ___ 6. Does this promotion require the consumption of alcoholic beverages to enter? YES ___ NO ___ Attachments (REQUIRED): [must be in adobe PDF format] 1. Formal request for approval on company letterhead. (must be legible) 2. Complete set of ALL promotional rules. 3. Clear color copy of promotional sales Media. [e.g.: Entry form, coupon, necker, tear-off, etc.] 4. Detailed list of where the promotion will be displayed on the product and within the licensed location. 5. ALL disclaimers and legally required notices (e.g.: “Purchase of Alcoholic Beverage Is Not Required To Participate…”, etc.) shall be clearly and legibly printed on the face of the promotional sales media in Bold-Face print in a medium of 10 point print (# 12 Font), or larger. SEND TO: Enforcement.license@abc.alabama.gov Revised 2/1/2009 American LegalNet, Inc. www.FormsWorkflow.com