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Primary Business (check one box only)
Restaurant	Motel/Inn	Fast Food	Resort
Industrial Cafeteria	School	Food/Bev Processor	Distributor
Multi-Unit Restaurant	Broker	Tavern	Distiller
Dept. Store	Brewer	Nursing Home	Hospital
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Vintner/Wine Agent	Equip Manufacturer	Banquet Hall/Caterer	Government
Contract Foodservice
Check boxes that describe your business
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Is your business licensed to sell alcohol?
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Owner/Operator	Chef/Kitchen Mgr	Marketing/Sales	Purchasing
Dining Room Mgr	Food & Bev Mgr	President	Bar Mgr
Manager/Director	Teacher	Other _______________