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Alcohol Beverage Catering Permit

  1. (Corporation, partnership or individual listed on the state license)
  2. (Name of person requesting catering permit)

  3. (City, State, Zip Code)
  4. (CURRENT)

  5. (Month, Day, Year)
  6. (Begin to End)
  7. (Location Address, Room or Suite(s)
  8. (Name of Event, Party, or Convention)

  9. (i.e. Beer, Wine, Liquor)

  10. (i.e. Cups, Cans, Bottles, Growlers)

  11. (Name of Organization, Group, or Person)

  12. Not to exceed three (3) consecutive days at a fee of twenty dollars ($20.00) per day.
  13. By checking the "I agree" box below, you agree and acknowledge that 1) Your application will not be signed in the sense of a traditional paper document, 2) By signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) You may still be required to provide a traditional signature at a later date.
  14. Electronic Signature Agreement
  15. Unless license is disqualified, approval of this permit does certify the license is entitled to hold and use this Idaho Liquor Catering Permit at the above designated premises, subject to provisions of Idaho State Code Tittle 23-1.C.
  16. Leave This Blank:

  17. This field is not part of the form submission.