HomeMy WebLinkAboutForm - Application for Solicitors Permit (2023-06-08)DEPARTMENT OF LIQUOR CONTROL COUNTY OF HAWAI'I
Hilo Lagoon Centre, 101 Aupuni St., Unit 230, Hilo, Hawai'i, 96720 * Phone: (808) 961-8218 * Fax: (808) 961-8684
E-Mail: cohdlc@hawaiicounty.gov
APPLICATION FOR SOLICITOR’S PERMIT
Pursuant to Rule 3-2-D-4, of the Rules and Regulations of the Liquor Commission of the County of Hawaii,
application is hereby made for a Solicitor’s Permit for:
Section I. To be completed by Applicant for a Solicitor’s Permit
Applicant: Date of Birth:
Business Address:
Telephone: Fax: E-mail:
Applicant requests permission to possess liquor for sampling to buyers: Yes No
If yes: inventory will be stored at
Applicant:
(Signature)
Name:
Date:
Phone No.:
E-Mail:
Section II. To be completed by Manufacturer or Wholesale Dealer
a valid holder of a liquor license for Name of Manufacturer or Wholesale Dealer
Beer and Wine ($120) General ($180) Alcohol ($5)
in the County of Maui Kauai City and County of Honolulu, does hereby appoint:
as our solicitor.
(Signature)
Name:
Title:
Date:
Phone No.:
PERMIT
Your Application for a Solicitor’s Permit was approved on .
The Commission:
o Did not approve possession of liquor for the purpose of conducting samplings to liquor buyers.
o Approved possession of liquor for the purpose of conducting samplings to liquor buyers and
inventory shall not exceed ___________ cases.
By: Director
Date:
Ratified by the Liquor Commission on:
Expiration Date:
Attachments: Personal History Statement/Check
Copy of Liquor License
Rev 06/2023 Hawai’i County is an Equal Opportunity Provider and Employer