Retailers Sampling Request
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Retailers Sampling Request Form. This is a Kentucky form and can be use in Alcohol Beverage Control Statewide.
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Tags: Retailers Sampling Request, Kentucky Statewide, Alcohol Beverage Control
ABC Form
“Retailers Sampling Request”
Rev. 07/15/04
Commonwealth of Kentucky
OFFICE OF ALCOHOLIC BEVERAGE CONTROL
1003 Twilight Trail
Frankfort, Kentucky 40601-8400
(502) 564-4850 Telephone
(502) 564-1442 Fax
" ABC RETAILER’S SAMPLING REQUEST"
KRS 244.050 (3)(a) (b) requires each holder of a Kentucky "Retailer's Sampling
License" to notify this Office at least 7 days in advance before conducting a
sampling event. A Sampling event is limited to a period not to exceed four (4)
consecutive hours between 12 noon and 8 p.m. Each sample size shall not
exceed one (1) ounce of wine, and one-half (1/2) ounce of distilled spirits. You
must limit a customer to no more than six (6) wine, and two (2) distilled spirits
samples per day.
All samples must be provided free of charge and at your licensed premises.
List the following information exactly as it appears on your license(s)
License Number(s)
Name of Licensee
DBA.
Address of Premises
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Street
Telephone No.
Fax No.
(
(
City
Zip code
)_________________________________________
)_________________________________________
List the date(s) of your Sampling(s)
Beginning ___ day of ______, 20____. and Ending on ____day of _______20__.
List the time of your "Sampling" From _____________p.m. to ___________p.m.
SIGNATURE OF LICENSEE __________________________Date ___________
For official use only
⃞ APPROVED Effective: _________20_____.
Expires: ___________20_____.
DISTILLED SPIRITS ADMINISTRATOR ________________________________
DISPLAY THIS APPROVAL PROMINENTLY DURING
YOUR SAMPLING EVENT
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