BYRON GEORGIA NOTIFICATION FORM FOR TASTING EVENT AT RETAIL PACKAGE LIQUOR STORE OR RETAIL DEALER IN THE CITY OF BYRON Name of business: Date ofT Tasting Event: Time and Duration ofTasting Event:_ Exact location within thel licensed establishment where event will be! held: Type ofa alcohol being served (distilled spirits, malt beverage or wine): Bys signing belowa asl licensee oft the above establishment, Ideclare that the foregoing is true and correct and thatlhave read and fully understand ther requirements oft the City ofE Byron Ordinance regarding Tasting Events pursuant to O.C.G.A 3-15-2. Licensee Printed Name: Licensee Signature: Date: Police Chief and/or Code Enforcement Officer Signature: