Type Full Name :
Sign With Hand
Business Phone #
I, the applicant, hereby certify that the information supplied herein is true and correct. I further certify that the business for which this application is being submitted complies with all applicable statues and regulations and all applicable ordinances. I understand that violation of any applicable statute, regulation, or ordinance may be grounds for revocation of the Business License for which this application is submitted. I further understand that if any information I have provided in this application is willfully false or misleading, I may be subject to denial of this application or revocation of the License for which this application is submitted.
Email
Name
Please attach:
  • A copy of your State of Delaware Business License
  • A copy of your Certificate of Liability Insurance
Business Location
Registration Type
Address
Address 2
Phone #
Email
Trade Name of Business
Business Information
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
www.bridgeville.delaware.gov
City, State, ZIP
Annual Fee
Phone #
Fee Schedule
Address
Applicant same as business owner?
Certification
Applicant Information
Name
Attachments
Applicant Signature
Business Owner Information
Full Description of the Nature of the Business
City, State, ZIP
Business Email
{[PNAME]}
Search for the business address and select it from the drop-down.
Is your Company physically within Town Limits? (If yes, you do not have to pay the fee)
Address