Manufacturing Application

18 Questions

1) Name of Company

2) Business Address

3) Mailing Address

4) Email Address

5) Name of Person Making Application

6) Relationship with Company

7) Name*

After Hours Contact

8) Phone*

After Hours Contact

9) Began Business

After Hours Contact

10) Sales Tax Number Please Provide Copy

After Hours Contact

11) Home or Cell Phone

After Hours Contact

12) Business Phone

After Hours Contact

13) Fax

After Hours Contact

14) Kind of Services Performed

After Hours Contact

15) Annual Fee*

$150.00

16) Gross Receipt Amount

17) Signature of Applicant

18) Date

City of Carthage