Application for Distiller

Permit Information

NOTE: Annual payment due June 30. Once your application is processed you will receive an email with a link to submit payment online for your license/permit.

Application Type?

New ($950)

Renewal ($950)

City of Moore License Number

Business Information

Name

Address

Address Additional

Phone

Owner/Contact Information

Owner

Address to send correspondence, if different from above

Address Additional

Phone

Email Confirm

Documents

NOTE: The following documents must accompany the application.

Upload Able Commission License

Choose File(s)

Unlimited number of files can be uploaded to this field.
2 MB limit.
Allowed types: jpg, png, pdf, doc, docx, txt.

Agreements

Please read the municipal code: Part 3 Alcoholic Beverages
Once you have finished, initial the Municipal Code Agreement field below.

Municipal Code Agreement

I Agree (initial)

By initialing, you agree that you have read and understood the municipal code provided above.

Signature

By signing and submitting this form, I certify that the information provided is true and accurate to the best of my knowledge.

Date

Application for Distiller

Information message

Information message

Information message