Alabama Alcoholic Beverage Control Board Law Enforcement Division 2715 Gunter Park Drive West Montgomery, AL 36109 Phone: 334-213-6300 Fax: 334-213-6322 Brand Registration Request Table Wine and Malt products only Table Wine must be naturally fermented products only and cannot exceed 16.5 % ABV. Malt products cannot contain any wine and or distilled spirits and must not exceed 13.9 % ABV. To submit a product for review this form must be completed by either the Manufacturer or Importer and have all required attachments before it can be considered. DATE COMPLETED: ______________________ This request is from ____________________________________________________, an Agent for _____________________________________________________, (Manufacturer or Importer). I request approval for the brand listed below. Manufacturer: ___________________________________________________________________ Type Alcohol Spirits Brand Table Wine Content Added / Malt Percent by volume Malt ______________________________________ ___________ Container Size(s) ________ ________ ________ ________ ________ YES / NO ____________ NO ________ ________ ________ ________ ________ List all in State Wholesale Distributors that will carry this product _____________________________________ ________________________________________ _____________________________________ ________________________________________ _____________________________________ ________________________________________ _____________________________________ ________________________________________ _____________________________________ ________________________________________ _____________________________________ ________________________________________ Required Attachments: (must be in Adobe PDF format) 1. 2. 3. 4. A formal request for approval on company letterhead. COLA form (TTB F5100.31) for the listed product (must be legible). A scanned color copy of the label listed (must be legible). Territorial Agreement(s) with the listed Wholesale Distributor(s). Return To: Enforcement.license@abc.alabama.gov. IMPORTANT NOTE: The item may not be shipped into the State for distribution until this form with all the required attachments has been reviewed and approved by this department. If denied, Date revisited: __________________________________ Revised: 8 / 2009 _____________________________________ ___________________________________ ______________________________________ APPROVE / DENY APPROVE / DENY APPROVE / DENY American LegalNet, Inc. www.FormsWorkFlow.com