The Mint District License Agreement

Business Name(Required)

First Last

Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Name(Required)

First Last

Point of Contact Role (Manager, Owner, etc)(Required)

Point of Contact Email(Required)

Point of Contact Phone Number(Required)

Does your business have a current ABC License for "on-premises consumption" of alcoholic beverages?(Required)

Yes

Please select one of the following options for your business in terms of opting IN or OUT of the social district.(Required)

Opt-IN - My business would like to participate in serving alcoholic beverages to be consumed within the Social District.

Opt-OUT - My business would NOT like to participate in serving alcoholic beverages to be consumed within the social district.

By checking this box, I agree to abide to the rules and regulations of The Mint District. I also understand that the Town of Rutherfordton must provide written approval of the containers before I start selling alcoholic beverages to be consumed within the Social District Boundaries.(Required)

I agree.