Email
Application Type
City
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[PPHONE]}
{[AWEBSITE]}
Vending Company Name
{[PNAME]}
State
Address
Business Information
ZIP
Phone #
  • Instructions
  • Application Details
  • Attachments
  • Certification

VENDING MACHINES


  • Kindly be advised that the license issued by the Health Department covering various food and liquid vending machines expires on June 30, of each year.

  • Below please find an application for a vending license. List the number and types of machines and the appropriate sum of money, which can be included in one check made payable to the "Township of Middletown". The fee is $20.00 per machine.

  • If you have a gumball machine that is used for charitable purposes and the charitable institution has its name displayed on the machine, a license may be issued at no fee. If this is the case with your machines, indicate the name of the charity on the application. The fee for a gumball machine is $5.00

  • FOOD MACHINES (Sandwich/Salads, etc.) - The Vending machine companies supplying the machine are required to send a copy of the last Chapter 24 inspection performed by the State Health Department or the local Health Department where the vending machine company is located. Please notify this office if you no longer have vending machines in writing. If you have any questions, kindly advise this office.

  • FAILURE TO LICENSE ANY FOOD OR LIQUID MACHINE COULD RESULT IN A COURT SUMMONS.
Total # of Profit Gumball Machines
Total # of Non Profit Gumball Machines
Total # of Food & Liquid Machines
Machine Details
  • If applicable for FOOD MACHINES (Sandwich/Salads, etc.) attach a copy of the last Chapter 24 inspection performed by the State Health Department or the local Health Department where the vending machine company is located.
Attachments
Type Full Name :
Sign With Hand
Certification
Fee Due
Application Fee
Signature
In making this application, I or we, agree to comply with all of the ordinances of the {[CNAME]}, and the law of the State of New Jersey, covering such establishment. It is further understood that, I or we, will surrender licenses, if granted, to the {[CNAME]} on demand. Expiration date is June 30th of each year. When there is a change in ownership or discontinuance of business, this license must be surrendered to this office.