Charitable Event Beer and Wine Application

Departments

Contact Info

City Hall

60 South Main Street
P.O. Box 48
Driggs, Idaho 83422

Hours: Monday-Thursday 8:30 a.m. - 5:00 p.m.
Friday 8:30 a.m. - 1:00 p.m.

Phone: (208) 354-2362

General Email: info@driggsidaho.org

Charitable Event Beer and Wine Application

Organization Name:*

Contact Person:*

Organization Address:*

Mailing Address:*

Phone:*

Email:*

Name of Event:*

Nonprofit Sponsor

Name(s):*

Mailing Address(es):*

Phone Number(s):*

TAX identification Number(s):*

Quantities and Types of Beer and/or Wine Products to Be Used at the Event:*

Name of Dealer Beer and/or Wine Is to be Received From:*

Address:*

Phone Number:*

Name of Licensed Beer/Wine Retailer to Dispense Beer/Wine:*

Address of Retailer:*

Phone:

FAX:

Date(s) of the Event:*

Start Time:*

Stop Time:*

Location of event, and description of premises where beer/wine will be conveyed:*
Attach Site plan and additional pages as needed

Upload additional details
1 MB max file size

Attach a copy of your Idaho State Non Profit Event License*
1 MB max file size

Attach a copy of your Teton County Non Profit Event License*
1 MB max file size

Signature of Applicant or Authorized Representative:*

Paying Online or by Mail?

Online: $20.91 (includes credit card processing fee)$20 check payable to: City of Driggs, P.O.Box 48, Driggs, ID 83422

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Charitable Event Beer and Wine Application

Nonprofit Sponsor