Page 1 of 1 Form L-GF (/2017) WINERY FESTIVAL CERTIFICATE REQUEST L-GF (/2017) The Winery Festival Certificate Request authorizes wineries to sell wine at a civic or wine festival, farmers222 market, celebration, or similar event. The permit may not be used for more than four consecutive days at the same location. You must notify your local TABC office of the date and location before the certificate is used. Additional information (such as letter from property owner, diagram, site plan, etc.) may be required to process your request. If the Winery Festival Certificate Request is in a dry area be advised that the permit holder may sell or dispense wine only if the wine is: bottled in this state; and at least 75 percent by volume fermented juice of grapes or other fruit grown in this state or a lesser percentage established by the commissioner of agriculture under Section 12.039, Agriculture Code. CURRENT WINERY PERMIT INFORMATION 1. Current Winery (G) Permit No. 2. Trade Name of Location as on Current Winery (G) Permit 3. Business Phone No. Alternate Phone No. E - mail Address : FESTIVAL LOCATION INFORMATION 4 . Location A ddress 5 . City County State Zip Code TX 6 . The festival function is requested for the following inclusive dates: From: (//YYYY) To: (//YYYY) From the hours of: AM PM To: AM PM 7 . Description of festival function: 8. The event will take place: Outdoor Festival Indoor Festival 9 . Did you obtain authorization from the owner of premise or event sponsor to participate in this event? Yes No Your written authorization must be provided with this application. 10 The type of event: (See R ule 33.15, of the Texas Alcoholic Beverage Administrative Rules, for qualifications.) Civic/Wine Festival Celebration Farmers222 Market Other PERMIT HOLDER INFORMATION AND SIGNATURE PRINT NAME TITLE SIGN HERE DATE Business Phone No. Alternate Phone No. E - mail Address : American LegalNet, Inc. www.FormsWorkFlow.com