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Empire Brewfest Brewery Registration Form

Brand Label Registration: The NYS Liquor Authority requires that all beers represented at the event must have a NYS Brand Label Registration Certificate on file with the event organizer. Please fax copies of BLR’s to: Kristin Ploettner at (315) 426-0024.

Brewery Name:
Contact Person:
Email Address:
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
List Beers and Styles:
Will you be sampling a handcrafted soda? Yes No
List of Personnel Attending: (4 maximum)

***Be advised, the NYS Liquor Authority requires that all beers must be poured by non-employees of the brewery or distributor. Only those on this list will be allowed entrance. ***Number of personnel is limited to 4 people.
Can you supply your own volunteers to pour your beer? Yes No
If no, do you need the festival to provide you with 1 volunteer? Yes No
Hotel room needed? Do you need a single (king) or double (2 queens)? (We will do our best to accommodate your needs). Yes No Single (king) Double (2 Queens)