Form Airport - Public Airport All-Beverages License Application printable pdf download

Form Airport - Public Airport All-Beverages License Application

MONTANA

Airport

Rev 06 13

Public Airport All-Beverages License Application

Application for a Public Airport license must be made by the agency owning and operating the airport.

Note: We cannot approve this application until we receive approvals from building, health, and fire code officials.

Approvals can be accepted electronically or by telephone, US Mail or fax.

Section 1. General Information

Note: List the name of the public agency that owns and operates the airport.

Name of Applicant(s) ________________________________________________________________________________

Federal Employer Identification Number

Social Security Number

Contact Person ____________________________________________________________________________________

Telephone __________________________________________ Cell Phone ____________________________________

Fax ___________________________________ Email Address ______________________________________________

Location Address ___________________________________________________________________________________

(Street Address, City, State and Zip Code)

Mailing Address ____________________________________________________________________________________

(Street Address, City, State and Zip Code)

Section 2. Type of Transaction and Fee

This type of license must be renewed on an annual basis by June 30.

New License $800 (There is no annual fee.)



Total Amount Enclosed

$ _____________

Office Use Only

Amount Paid $ ____________

Amount Owed $ ___________

New License Number

________________________

Account Number

________________________

Form Airport - Public Airport All-Beverages License Application