West Virginia License Information - Ethyl Alcohol Order Form
Blank Form Downloads
State Authority Information
Follow these steps to complete the West Virginia Ethyl Alcohol Order Form:
Step 1: Download ABC FORM 12 using the link provided above. Open the form to begin entering your information.
Step 2: Start by listing the date you would like the order shipped by and the method of delivery. Then list your business name and address.
Step 3: List our business information: The Northern Maine Distilling Company, 55 Baker Blvd, STE 22, Brewer, ME 04412
Step 4: Enter the quantity and proof of the Culinary Solvent you wish to purchase. Then list your Ethyl Alcohol license number.
Step 5: List your business name again. Then the person filling out the application will fill in their name and title and date the application.
Step 6: Mail completed Order Form to: West Virginia Alcohol Beverage Control Administration, 900 Pennsylvania Avenue, 4thFloor Charleston, WV 25302
Step 7: Wait for us to receive your approved order form. Once we receive the order, you will receive and e-mail and can proceed with making your purchase at https://www.culinarysolvent.com/store/c1/store
Step 8: Make sure to fill out Form 139 when your shipment is received. See instructions on How to Complete ABC Form 139.