A-381 Form 2 (Liquor Regulations, s.12) Club Licence Application Form (New and Renewal) Download Form PDF Form 2 Club Licence Application Form Applicant Information New Application Renewal - Licence # Enter other… Licence Holder (Club Name) Contact Information Applicant 1 (President Name) Applicant 2 (Secretary Name) Email Phone Fax Number Mailing Address City/Town - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon State/Province ZIP/Postal Code Steps Current Form 2 Club Licence Application Form Club Information Preview Complete Is this page useful? yes no Provide comments Email address Provide a comment Thank you for contacting the Government of Nunavut. Please do not send sensitive or personal information, including (but not limited to): social insurance numbers, birthdates, information of other people, or health information. Please only send a brief description of your issue or concern and how we can contact you. We will make sure the correct person contacts you if they need more information or if they can answer your question or concern.