Beer Board Committee Application

The Beer Board regulates the selling, storing, and distributing for sale and manufacturing of beer within the Town of Smyrna. The board is composed of five (5) members who are citizens of the Town. The term of service is four (4) years.

The Beer Board Meeting meets the first Monday of each month at 5:00 pm in the Council Room at City Hall (315 South Lowry Street).

Date*

Committee(s) Requested*

Full Name*

Street Address*

City*

State*

Zip Code*

How long have you lived in Smyrna*

Are you a registered voter?*

Yes

You will need to provide verification of your address by submitting a copy of your driver's license or other State-issued ID

If you are unable to upload a file, here are other ways to submit a copy of your driver's license or State-issued ID: ✉️ Submit via e-mail: boardapplications@townofsmyrna.org, 📠 FAX to (615) 355-5715 or 🗎 Deliver in person to City Hall (315 South Lowry Street, Smyrna)

Contact Information

Phone Number*

Alternate Phone Number

E-mail Address*

Employment

Current Workplace

Job Title

Length of Employment

Business Address

Business Phone Number (Include Extension)

Education

Other Information

Past / Current Community Involvement*

Professional Organizations

Explain why you would like to serve on this committee*

Do you know of any potential conflicts?*

Services

Forms

SMYRNA

Beer Board Committee Application

Contact Information

Employment

Other Information