Wine License Application / Strong Beer Authorization

Administration

You may apply for a Strong Beer License Authorization on this form. The requirements for the Strong Beer Authorization are that the applicant must have both a Beer License & Wine License and pay a $150 fee. Please indicate your intention to apply for the Strong Beer Authorization by checking the appropriate box in the form below. If you wish to apply for just the Wine License, check “NO” for the Strong Beer Authorization” question.

Wine License Application and/or Strong Beer Authorization

A strong beer authorization requires that you have both a beer and wine license and pay a fee of $150.00. You can indicate your intentions on the form below.

Applicant Information
Applicant Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Federal ID # - FEIN # or SSN #*
MN ID #*
Email*
Enter Email Confirm Email
Business/Organization Information
Business/Organization Name*
Business/Organization Address*
Street Address Address Line 2 City State ZIP Code
Minnesota Tax ID*
Applicant is*
- Owner
- Operator
Manager's Name (if applicable)
First Last
Manager's Address
Street Address Address Line 2 City State ZIP Code
Annual Beer Sales Amount*
Upload a copy of your Certificate of Insurance
If annual beer sales exceed $25,000 a certificate of insurance must be submitted with this application to the City Clerk (see section 5.11 of the Windom City Code)
Accepted file types: pdf, doc, docx, png, jpg.
Report of Investigation
Are you also applying for Strong Beer Authorization?*
The requirements for a Stong Beer Authorization are that the applicant must have both a Beer License & Wine License and pay a $150 fee.
- Yes
- No
License Fee*
Price: $150.00
Total
$0.00
Acknowledgement*
I, the applicant, state that all statements in this application are true and correct. I hereby acknowledge that I am in receipt of Chapter 5 of the Windom City Code detailing license requirements.
- I agree/acknowledge
Third-party Processing Fee*
- I agree and accept that a third-party processing fee will be added to the amount due for this application.
Credit Card

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Visa
Card Number Expiration Date Security Code Cardholder Name
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Email
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Administration

Wine License Application and/or Strong Beer Authorization

Applicant Information

Business/Organization Information

Windom City Hall

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