best bar none application form 2016

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APPLICANT’S DETAILS APPLICANT NAME PREMISES NAME PREMISES ADDRESS TELEPHONE NUMBER MOBILE NUMBER EMAIL ADDRESS NAME of DESIGNATED PREMISES SUPERVISOR AREA MANAGER NAME MOBILE NUMBER EMAIL ADDRESS Please tick one of the following boxes that you feel best describes your licensed premises:- PUB [ ] CLUB [ ] This form should be returned to:-

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Best Bar None Application form 2016

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APPLICANT’S DETAILS

APPLICANT NAME

PREMISES NAME

PREMISES ADDRESS

TELEPHONE NUMBER

MOBILE NUMBER

EMAIL ADDRESS

NAME of DESIGNATED PREMISES SUPERVISOR

AREA MANAGER NAME

MOBILE NUMBER

EMAIL ADDRESS

Please tick one of the following boxes that you feel best describes your licensed premises:-

PUB [ ] CLUB [ ]

This form should be returned to:-

Paul Riordan, BBN Co-Coordinator, Kingstonfirst, 3rd Floor, Neville House, 55 Eden Street, Kingston upon Thames KT1 1BWPlease enclose a cheque for £25.00 administration costs made payable to: ‘Kingstonfirst’. Terms and conditions apply – see accompanying details.