Type Full Name :
Sign With Hand
Last Name
Phone # *
Name
* Business License fee is $50.00
Address
Vendor Truck Licence Plate #
Email *
* Disclaimer: State Business License must be attached to this application. Business Liability & Health Permits are optional, but encouraged attachments.
Business Details
Registration Type *
Address *
Restaurant Type (If Applicable)
Address 2
City
Mailing City, State, ZIP
Business Category (If Other)
Address
Phone #
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Business Name *
Name
Vendor Truck Make
Emergency Contact Details
Building Owner Details
State *
State
* Cash, Check or Money Order made payable to the Town of Millsboro must be either mailed or dropped off at Town Hall.
Federal ID #
Phone # *
Fee Schedule
Last Name *
Reinspect Fees
Phone #
Business Category
First Name
Single Day Vendor
Application Fee
Vendor Truck Model
Phone #
Address
Do you have a state license? *
Certification
Attachments
Applicant Signature *
Business Owner Details
Description of Business *
First Name *
City *
ZIP
Alarm Company Details
Square Feet
Email
ZIP *
{[PNAME]}
Please select your business address. If business is located outside of Millsboro, please select "Non Resident or Address Not Found"