OFFICER SERVICE AGREEMENT SINGLE EVENTOfficer Service Agreement • August 5th, 2010
Contract Type FiledAugust 5th, 2010Name of Coordinator: (Coordinator’s Contact Number) (Date of Event) Applicant: (Business Name or Organization) (COT Permit Number/Attach Copy of Permit and 501(c)3) Address of Business: Address of Event: Name of Event: Description of Duties: Name and title of Authorized Agent Requesting Service: (Title) (First) (Middle) (Last) CellPhone #: WorkPhone #: OtherPhone #: Alcoholic Beverage License Number (Attach copy of beverage license): COT Business Tax Certificate Account Number (Attach copy of tax certificate if applicable):