For Office Use Only Liquor Control Board Licensing and Regulatory Services PO Box 43098 Olympia WA 98504-3098 360/664-1617 www.liq.wa.gov Date Check No. Amount Rec’d Rec’d By APPLICATION FOR CLASS 8 OR 9 PERMIT Type of permit (choose one) Class 8 Permit - $25 fee Application by a manufacturer, importer, or wholesaler of liquor to donate and/or serve liquor without charge to delegates and guests at a convention of a trade association composed of licensees of the Board. Liquor must be served in a hospitality room or from a booth in a Board approved supplier’s display room at the convention (per RCW 66.20.010(8)). Spirituous liquor must be purchased from the Board. Any beer/or wine donated are subject to normal state taxes . Class 9 Permit - $25 fee Application by a manufacturer, importer, or wholesaler of liquor to donate liquor for a reception, breakfast, luncheon, or dinner for delegates and guests at a convention of a trade association composed of licensees of the Board. Liquor must be consumed during the event (per RCW 66.20.010(9)). Spirituous liquor must be purchased from the Board. Any beer/or wine donated are subject to normal state taxes. Applicant Information Name of Applying Manufacturer, Importer, or Wholesaler Business Address (Street or Route, City, State, Zip Code) Person Responsible for Arrangements (First, Middle, Last) Title Phone No. ( ) Event Information Type of Event Location of Event (Street, City, State Zip Code) For class 9 Permits: Name of Trade Association For class 8 permits: Liquor Will Be Served In: Booth in Supplier’s Display Room – Hospitality Room Number(s) Booth Number(s) Date(s) Event Will Be Held Hours Liquor Will be Served Appropriate Number of People Attending Event Type of Liquor to be Served Beer Wine Spirituous liquor I declare under the penalties of perjury that the answers contained in this application are true, correct and completed. The undersigned certifies it is understood that a misrepresentation of fact is cause for rejection of this application or revocation of any permit issued. Signature Title Date LIQ 338-51 2/99 American LegalNet, Inc. www.FormsWorkflow.com