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Click ‘Get Form’ to open the lc mw 1001 in the editor.
Begin by entering your Consumer Sampling Licensee Name, which can be an individual, partnership, corporation, or LLC. Ensure accuracy as this identifies your business.
Fill in the DBA (Doing Business As) name and provide your business phone number, mobile phone, and email address for contact purposes.
Complete the Business Address section with the street number and name, city or village, township (if applicable), county, and zip code.
In the Sampling Events section, specify the type of consumer sampling event (Beer and Wine or Spirits) and provide details such as licensee name for sampling location and street address.
List the brands to be sampled along with dates and times of each consumer sampling event. Be sure to include any logoed merchandise you plan to distribute.
Finally, sign the completed notification form on the second page before mailing it to the provided address or faxing it to MLCC Licensing Division.

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2014	4.8 Satisfied (265 Votes)
2014	4.3 Satisfied (141 Votes)

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