There is a $500.00 fee per month or fractional part thereof
Applicant's Name (required)
Address of Applicant (required)
Phone (required)
Email
Does the applicant have a criminal record? (required) NoYes
Attach a copy of valid driver's license or state ID card (required)
Explain Type of Business (required)
Business Location (required)
Duration of Business (required)
If Vehicle is to be used, list license number and type of vehicle
Please Upload Any Necessary Files (PDF/DOC/DOCX formats)
