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2. DATE:*
   DATE:
4. First Name*
5. Last Name*
7. Name of Special Event*
11. Event Location*
13. Mailing Address*
15. Contact Person*
17. Email*
19. Phone number*
21. Date and Time of Event
    Date and Time of Event

    Date and Time of Event
23. Check the Type of License your applying for:*

    1. Temporary License $100.00
    2. Distilled Spirts and Wine Auction License $100.00
25. Have you attached the Following?*

    1. Payment Payable to the City of Georgetown
    2. Proof of Server Training (If applicant does not have an ABC license)
    3. Proof of Insurance ( If event is being held in or on public property)
27. Required Documents*
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field