Brand Registration Amendment Application
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Brand Registration Amendment Application Form. This is a New Jersey form and can be use in Division Of Alcoholic Beverage Control Statewide.
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Tags: Brand Registration Amendment Application, New Jersey Statewide, Division Of Alcoholic Beverage Control
STATE OF NEW JERSEY
DEPARTMENT OF LAW AND PUBLIC SAFETY
DIVISION OF ALCOHOLIC BEVERAGE CONTROL
P.O. BOX 087
TRENTON, NJ 08625-0087
BRAND REGISTRATION AMENDMENT APPLICATION
[N.J.S.A. 33:1-1.2; N.J.A.C. 13:2-33)
FILING FEE: $10 PER BRAND
CHANGE IS ONLY TO ADD A DISTRIBUTOR(S)
BRAND REGISTRANT (PLEASE PRINT OR TYPE)
NAME:
ADDRESS:
CONTACT PERSON AND PHONE NUMBER:
ADDITIONAL DISTRIBUTORS
NAME AND 12-DIGIT LICENSE NUMBER:
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REGISTRATION NUMBER
BRAND NAME PER PRODUCT:
AUTHORIZED SIGNATOR AND TITLE
SIGNATURE
DATE
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