Alabama Alcoholic Beverage Control Board Law Enforcement Division 2715 Gunter Park Drive West Montgomery, AL 36109 Phone: 334-213-6300 Fax: 334-213-6322 TERRITORIAL AGREEMENT FORM Date Completed: ___________________ The parties agree that, effective _______________________ (DATE), the undersigned licensed manufacturer / importer designates the county or counties listed below as sales territory exclusive to the undersigned licensed wholesaler for the sale of the product listed below. If the agreement is for a temporary period, as provided in Alabama Code Section 28-9-4(1) or Section 45-2-22.04, or in Alabama Act No. 93-483, Section 5, then the period ends on ___________________ (DATE). This document is to be filed with the Alabama Alcoholic Beverage Control Board in compliance with Alabama Code Section 28-8-2. This agreement is subject to the provisions of Alabama law including, but not limited to, Alabama Code Title 28, Chapter 8, and also Chapter 9 (pertaining to beer), Title 45, Chapter 2, Article 2, Part 3 (pertaining to wine in Baldwin County), and Alabama Act No. 93-483 (pertaining to wine in Mobile County). TYPE: _________________________________________________________________ (As entered in Item 5 of the Alcohol and Tobacco Tax and Trade Bureau form TTB F5100.31 Application For and Certification / Exemption of Label / Bottle Approval) BRAND: _______________________________________________________________ (As entered in item 6 of the Alcohol and Tobacco Tax and Trade Bureau form TTB F5100.31. Application for And Certification / Exemption of Label / Bottle approval) VARIETY: _____________________________________________________________ (Wine Ex.: Chardonnay, Zinfandel, Pinot Noir, Rose, etc. / Malt Ex.: Pale Ale, Lager, Stout, Red etc.) TERRITORY: __________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ (List each territory by County name or by statewide if for the entire State) MANUFACTURER / IMPORTER ____________________________ WHOLESALER ____________________________ License Number License Number ____________________________ ____________________________ Name of Firm as shown on License Name of Firm as shown on License ____________________________ ____________________________ Signature Signature ____________________________ ____________________________ Type or Print Name & Title Type or Print Name & Title SEND TO: Enforcement.license@abc.alabama.gov Revised 2/1/2009 American LegalNet, Inc. www.FormsWorkflow.com