12.12.2022 RAMP Server/Seller Training

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* 1. First & Last Name (for PLCB registration)

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* 2. Home Address (for PLCB registration)

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* 3. Personal Phone Number (for PLCB registration)

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* 4. Personal Email Address (for PLCB registration)

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* 5. Establishment Name/Licensee (for PLCB registration)

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* 6. Establishment Address (for PLCB registration)

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* 7. Establishment Phone Number (for PLCB registration)

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* 8. Type of Establishment/Licensee

charitable organization

religious organization

branch/lodge of national or statewide veteran, civic or fraternal organization

local civic organization (volunteer fire company)

local civic organization (wildlife and conservation group)

local civic organization (sportsmen's club)

Other (please specify)

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* 9. What type of liquor license does your organization currently possess (club, special occasions permit, restaurant, etc.)?

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* 10. How did you hear about the training?

Flyer in the mail

Social media post

Press release in the newspaper

Other (please specify)

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* 11. Do you require any special accommodations under the ADA Law to participate in the training?

No

Yes

If yes, please specify