Store Sample Tasting Event Request Form

Name of Requestor:(Required)

First Last

Phone Number of Requestor:(Required)

Email of Requestor:(Required)

Supplier:(Required)

Broker Representative(Required)

Products for Tasting:(Required)

IMPORTANT Include NABCA# and Product Description

Product Classification(Required)

Sales Goals and Objectives for the Tasting:(Required)

Date Requested:(Required)

NOTE: Tuesdays through Thursdays are 4:00 p.m. to 6:00 p.m. Fridays 5:00 p.m. to 7:00 p.m. Saturdays 2:00 p.m. to 4:00 p.m.

Fill this out this form and attach with a certificate of insurance in your Request Tasting Submission. For questions, please contact StoreTastings@liquor.idaho.gov

Upload Insurance Certificate and Signed Distilled Spirits Supplier Indemnification and Insurance Form(Required)

Drop files here or

Accepted file types: pdf, Max. file size: 50 MB.

City Requested(Required)

Number of Stores Requested(Required)

Time of Event(Required)

Maximum to be scheduled is 2 hours

Person(s) or Agent to Conduct the Event(Required)

Must be 21 years of age with valid alcohol server/seller certification

First Last

Tips Certified(Required)

Yes

Do You Need an Electrical Outlet or Table?

Outlet

Table

What Supplies Will You Bring With You:(Required)

POS Merchandise to be Given to Customers if Applicable (optional)

BY FILING THIS REQUEST, I AGREE TO OPERATE UNDER THE REQUIREMENTS OF TITLE 23 AND ALL OTHER APPLICABLE IDAHO LAWS AND REGULATIONS.