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Application for Marketing Program

Applications may be received two to three (2-3)months prior to the proposed promotional month or as a yearly package.

Notice of approvals will be forwarded to supplier/agent no later than six weeks prior to promotional start date.

Notice of approved merchandising programs will go to the stores four weeks prior to the promotional start date.

Fields marked with a red star (*) are mandatory.

Applicant Information

Supplier: *
Supplier's Telephone Number: *
Supplier's Fax Number:
Agent: *
Agent's Telephone Number: *
Agent's Fax Number:
Marketing Program Applied For

Program: *
Added Value
Tie-In Program
Chilled Product
In-Store Tasting
Display Program
Special Limited Time Offer
Beer Display
Vodka Chilled Program:
Please specify by months.
At Cash Stacker:
Please specify by months.
Description of Promotion

Please provide a brief description of promotion.
Promotion: *
Added Value Item

If the Added Value Item is an alcoholic beverage, please complete the following.
Size (ml):
Alcohol Content:
Sample On-pac:
Has a sample on-pac been forwarded to the Prince Edward Island Liquor Control Commission?
Merchandising Proposal:
Has the supplier's merchandising proposal been forwarded to the PEILCC?
Special Limited Time Offer

If you are applying for a special limited time offer (discount)program, please complete the following.
Regular Retail:
L.T.O. Retail:

Invoices will be issued upon program approval.
Submission Information

This electronic submission will be forwarded to:
Pam Campbell
P.E.I. Liquor Control Commission, 3 Garfield Street, P.O.Box 967
Charlotttown, Prince Edward Island, Canada, C1A 7M4

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