ATT-88 (Rev. 1/13) GEORGIA DEPARTMENT OF REVENUE ALCOHOL AND TOBACCO DIVISION TELEPHONE: (404) 417-4900 E-MAIL: ATDIV@dor.ga.gov WHOLESALER'S INITIAL LIST OF SUPPLIERS AND DESIGNATED TERRITORIES Submit online at https://gtc.dor.ga.gov NAME OF WHOLESALER STREET ADDRESS CITY STATE ZIP CODE 1. In what territories will you sell Malt Beverages to retail dealers in Georgia? (List Counties) ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ 2. List the names of Malt Beverage suppliers and the brands of malt beverages supplied to you by each. ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ 3. In what territories will you sell Wine to retail dealers in Georgia? (List Counties) ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ 4. List the names of Wine suppliers and the brands of wine supplied to you by each. ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ 5. In what territories will you sell Distilled Spirits to retail dealers in Georgia? (List Counties) ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ 6. List the names of Distilled Spirits suppliers and the brands of distilled spirits supplied to you by each. ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com