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Alcoholic Beverage Control Authorized Importer Designation Mobile App

This mobile application is designed to assist users quickly submit an Importer Designation and Authorization form digitally. Included is this app is also designated distributor information log. Sign in the app to authorize information. Customize the app to meet the State's requirements, however, be sure to check with your attorney before you use it.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Alcoholic Beverage Control Authorized Importer Designation Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    (Enter Name of Brand Owner) is the lawful owner of the brand(s) of beer and/or wine listed in par...

  • Ico textbox

    Name of Applicant/Licensee

  • Ico multiline

    Street Address of Applicant/Licensee

  • Ico multiline

    City/State/Zip

  • Ico textbox

    Virginia Importer’s Number

  • Ico statictext

    which govern beer or wine importer licenses.

  • Ico statictext

    The brands which the applicant named in paragraph I is authorized to sell and deliver or ship int...

  • Ico multiline

    Name of Brands

  • Ico textbox

    The above named applicant/licensee is hereby designated as the authorized representative of (ente...

  • Ico textbox

    Beer Franchise Act, §§4.

  • Ico textbox

    and/or the Wine Franchise act, §§4.

  • Ico textbox

    with each wholesaler licensee of the (enter state)

  • Ico statictext

    Alcoholic Beverage Control Board to whom the above named importer sells any brand of beer or wine...

  • Ico textbox

    NOTICE TO BRAND OWNER: By completing and submitting this form, according to (enter state)

  • Ico textbox

    law, the designated Importer will be authorized to enter into agreements for territory assignment...

  • Ico statictext

    licensed wholesalers on your behalf.

  • Ico textbox

    All territory assignments made by your designated Importer are submitted to the (enter state)

  • Ico statictext

    Department of ABC on an Attachment B form and are binding

  • Ico statictext

    Please check the appropriate statement, below

  • Ico checkbox

    This is an original authorization from the undersigned brand owner for the brands identified in p...

  • Ico checkbox

    This is an amendment to an original authorization, adding or deleting brands, which the above nam...

  • Ico textbox

    Name of Brand Owner

  • Ico signature

    Signature

  • Ico signature

    Signature of Person Executing Form and Title

  • Ico date

    Date

  • Ico textbox

    The undersigned, which is applying for issuance or renewal of an importer’s license to sell and d...

  • Ico textbox

    Alcoholic Beverage Control Board this list of wholesaler licensees which are authorized by the un...

  • Ico textbox

    to distribute such brands within the Commonwealth of (enter state)

  • ...and More!

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  • Creator: Team GoCanvas
  • Language: English
  • Country: United States of America
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