Business License Form

Business Name(Required)

Description of Business(Required)

Business Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

Business Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Business Phone(Required)

Business Email(Required)

Emergency Contact (Within 45 Minutes)(Required)

Emergency Phone(Required)

Emergency Contact Address(Required)

Street Address Address Line 2 City State ZIP Code

Is your business seasonal?(Required)

Yes

Open Date(Required)

Close Date(Required)

Business Owner Name(Required)

First Last

Owner's Address(Required)

Street Address Address Line 2 City State ZIP Code

Building Owner Name(Required)

First Last

Building Owner's Address(Required)

Street Address Address Line 2 City State ZIP Code

Building Owner's Phone(Required)

Building Owner's Email(Required)

Is this business operated out of your home?(Required)

Yes

I (property owner or authorized agent) certify that the above property meets the requirements of the Town of Gibraltar.(Required)

Signature Required

License Fee(Required)

Price:

Online Transaction Fee(Required)

Stripe processing fees are added to the total price you pay. Stripe fees are 2.9% +$0.3

Price: $0.00

Total Amount

Credit Card

Card Details

Cardholder Name

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