APPLICATION FOR PERMIT TO SOLICIT FOR FUTURE SALES NEBRASKA LIQUOR CONTROL COMMISSION 301 CENTENNIAL MALL SOUTH PO BOX 95046 LINCOLN, NE 68509-5046 PHONE: (402) 471-2571 FAX: (402) 471-2814 Website: www.lcc.ne.gov Name ___________________________________________________________________________ Home Address ____________________________________________________________________ (Must reside/live in Nebraska) City ____________________________________State _______Zip Code _____________________ Home phone _____________________________Cell number ______________________________ Email Address ____________________________________________________________________ Name of Company(s) you represent ___________________________________________________ _________________________________________________________________________________ Name of Wholesaler(s) you will be working with _________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ ________________________________________________________ Signature _________________________________________________________ ___________________________ Print Name Date Form 300 Rev 11/2013 American LegalNet, Inc. www.FormsWorkFlow.com 016.07 PERMIT TO SOLICIT FOR FUTURE SALES 016.07A - The Commission may issue a permit for wholesale sales for future delivery to retailers which authorizes the permittee to promote the sale of beer, wine, and spirits through methods such as solicitations, display, advertising and personal contact with licensed retailers and their agent, servants, and employees. A person holding the permit under this regulation may give samples of beer, wine, and spirits to retailers provided the alcoholic beverages first came to rest at a wholesale licensed premise and the state excise taxes paid. The permit under this section is only required of persons employed by a holder of a shipping license issued by the Commission and who reside in the State of Nebraska. Shipping license holders shall furnish the Commission with the names of all employees engaged in activities requiring a permit under this section and shall notify the Commission whenever an employee begins or terminates employment. Upon leaving employment, an employee shall submit his or her permit to the Commission for cancellation. Every person holding a permit under this section shall exhibit it upon request to any prospective purchaser or agent of the Commission or Nebraska State Patrol. A permit holder shall retain and preserve industry promotional cost records for Commission review for a period of three years. Every person holding a permit under this section shall be obligated to follow all Trade Practice Policies, Chapter 6, 016 contained in Commission Rules and Regulations. Every permit holder, employer, or shipper is subject to citation for any violation of the Trade Practice Rules and Regulations. The application for the new permit shall be submitted upon such forms as the Commission may prescribe. Form 300 Rev 11/2013 American LegalNet, Inc. www.FormsWorkFlow.com