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Credit Card Payment Form

Credit Cards

Please fill out this form, print it, sign it and mail or fax it to the Liquor Commission


(as it appears on card)

(I agree to pay above amount according to card issuer agreement)

Fax this form to: or Mail this form to:
(603) 271-2375 State of New Hamsphire
Liquor Commission
P.O. Box 503
Concord, N.H. 03302-0503
Any questions should be forwarded to the Accounts Receivable Department at 230-7053.
     

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