March 17, 20242024 Brewery Application Brewery* Contact Name* First Last Email* Phone Number*Brewery Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Brewery Website & Social Media HandlesPlease Include Handle and Platform, or URL(s)Will you need ice for your beer?* Yes No Will you need a cooler bucket for your beer?* Yes No How many pourer representatives will your brewery provide?* If your brewery is unable to provide any pourers at the event but is still interested in participating through donation, please let us know and we would be more than happy to provide a pourer on your behalf. A participating brewery will receive 2 complimentary tickets for the event.* I agree to receiving no more and no less than 2 complimentary tickets. I do NOT agree to receiving no more and no less than 2 complimentary tickets. Brewery Agreement - Please Read Carefully!!!* My signature below acknowledges that I have read the attached event policies and agree to abide by them.Beer tasting will occur within the shops/businesses of each Participating Merchant, each of whom will possess a One Day ABC Liquor License. Attendees will walk to each Participating Merchant on the streets of Old Town. The ABC License requires that all wine be consumed inside the shops, no wine is allowed on the streets or sidewalks. Brewery agrees to provide beer (at least 3 to 4 cases) and a brewery representative(s) to pour for event ticket holders and to discuss the virtues of the beer (unless other arrangements have been made below for alternate pouring arrangements). We will contact you two weeks prior to the event with the name, location and contact for the Old Town Merchant with whom you will be paired and final event details.Digital Signature* Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
