Supplement License And Hall Rental Request Form Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Supplement License And Hall Rental Request Form. This is a New Hampshire form and can be use in Liquor Commission Statewide.
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Tags: Supplement License And Hall Rental Request Form, New Hampshire Statewide, Liquor Commission
Supplement License & Hall Rental Request Form
Liquor License Number_______________
Name _________________________
Phone Number ______________________
Address________________________________
Mailing Address__________________________
_____________________________
_______________________
Please check type of rental (Supplemental is when you are selling alcohol to party renting
hall-NOT FOR CLUB FUNCTIONS). This form may be filled out for multiple
functions. Any requests for gambling functions must be accompanied by a copy of
the gambling permit issued for event. All requests MUST be received 5 Day’s prior to
first date requested.
_________
___________
_____
Supplemental
Hall rental
Bingo
_________
_______
____________________
Date
Start time
End time
________________
_____________________
Event
Name of party renting hall
_________
Supplemental
_________
Date
________________
Event
___________
Hall rental
_______
Start time
_____
Bingo
____________________
End time
_____________________
Name of party renting hall
_________
Supplemental
_________
Date
________________
Event
___________
Hall rental
_______
Start time
_____
Bingo
____________________
End time
_____________________
Name of party renting hall
_________
Supplemental
_________
Date
________________
Event
___________
Hall rental
_______
Start time
_____
Bingo
____________________
End time
_____________________
Name of party renting hall
_________
Supplemental
_________
Date
________________
Event
___________
Hall rental
_______
Start time
_____
Bingo
____________________
End time
_____________________
Name of party renting hall
MAIL REQUEST TO: NHSLC, PO BOX 1795, CONCORD NH 03302-1795
Rev. 04/3/06
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