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Business Details

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Is this a Retail Food Establishment? *

Business Owner Details

Email *

City, State, ZIP *

Mailing Details

A Registration Fee of $50.00 needs to be paid to the Borough of Atlantic Highland's Municipal Clerk before a license can be issued.

ZIP

Business
Registration

Applicant Signature *

100 First Avenue
Atlantic Highlands, NJ 07716
Phone #: (732) 291-1222 | Fax: (732) 291-9725
www.ahnj.com

Borough of
Atlantic Highlands

Unit #

Phone # *

Is this application for new or renewal? *

Emergency Contact Details

Fee Due

Fee Schedule

State

Mailing Address

Business Name *

City

Please input Mailing Address, if different than Property Address

If the business is a Retail Food Establishment, an attached copy of County Board of Health Inspection Certificate.

Contact Name *

Corporate Business Name *

Mailing Street *

Full Address (City, State, ZIP) *

Product/Service Offered/Industry *

Attachments

Name *

Phone # *

Street Address *