Type Full Name :
Sign With Hand
Last Name
Organization Name
Certification
Begin typing Address of the machines and select from the populated drop-down
Application Type
First Name
The fee for each vending machine is $45.00.
Vending Machine Owner Details
Email
Application Fee
Machine Details
Address 2
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
ZIP
Add Machines Below
Signature
Number of Machines
In making this application, I or we, agree to comply with all of the ordinances of the Township of South Orange Village, 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 Township of South Orange Village on demand. Expiration date is June 1st of each year. When there is a change in ownership or discontinuance of business, this license must be surrendered to this office.
{[PNAME]}
Phone Number
Property Owner
Address 2
Address
City
State
Address of Machine(s)