Request For Keg Registration Label Booklets
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Request For Keg Registration Label Booklets Form. This is a Connecticut form and can be use in Department Of Consumer Protection Statewide.
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Tags: Request For Keg Registration Label Booklets, CPKEG-01, Connecticut Statewide, Department Of Consumer Protection
For Official Use Only
CPKEG-01, Rev 7/06
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
LIQUOR CONTROL DIVISION
Telephone: (860) 713-6200
Email: liquor.control@ct.gov
Web Site: www.ct.gov/dcp
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Request for Keg Registration Label Booklets
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I NSTRUCTIONS :
This order form must be accompanied by check or money order for the complete fee.
orders should be made payable to: “Treasurer, State of Connecticut.”
Name of Permittee (First Name, Middle Initial, Last Name)
Checks or money
Permit Number
Business Name
Business Street Address
City
State
Zip Code
Mailing Address (if different than above)
City
State
Zip Code
Signature of Permittee
Date
Number of Booklets Requested
Cost per Booklet
(50 labels per booklet)
(includes postage)
Total Amount Enclosed
$6.00 each
Note: You must have Keg Registration Label forms available for signing even if only selling one keg per year
[ Return your completed form and appropriate fee to:
+ License Services Division
Department of Consumer Protection
165 Capitol Avenue
Hartford, CT 06106
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