Company Name *

CEO/ MD Name

Your organisation’s main contact for Drinkaware *

Job Title *

Telephone no *

Email *

Website

Company Address *

Postcode *

Category *

If your company is part of a group, please state name of parent company

Please list all brands that this licence will cover *

Please state which trade associations you are members of *

I confirm that our turnover from alcohol sales is less than £2.5m (after duty, before VAT) *

By clicking 'submit' you are accepting the website Terms and Conditions and Privacy Notice *

I confirm that the information supplied in this form relating to annual turnover from alcohol sales in the UK is accurate *

I, the Licensee, will notify Drinkaware in writing within 5 business days if at any point during the term it becomes aware that the actual or anticipated annual turnover from alcohol sales exceeds or will exceed the amount stated in the above form *

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Trademark License Required Information Form

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