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2. Date of Application:*
4. Expected Date of Opening (new business only):
6. Name of Business: *
8. Doing Business As (DBA): *
10. Type of Business Ownership: *
    -- Select One --CorporationSole Proprietor/PartnershipOther (please specify below)
12. If you chose "Other" above, please explain:
14. Business Physical Address:*
16. Billing Address:*
18. Primary Owner's Name:*
20. Email Address: *
22. Phone: *
24. Emergency Contact Name:*
26. Phone: *
28. Is your business open to the general public? *

    1. Yes
    2. No
30. Is your business a home office? *

    1. Yes
    2. No
32. Number of full-time employees: *
34. Number of part-time employees: *
36. Business Square Footage: *
38. Business Status: *
    -- Select One --NewExistingClosed
40. Buiness Category: *
    -- Select One --ServiceRetailOfficeRestaurantManufacturingSchoolNonprofitCultural
42. Describe your business, including all activities involved: *
44. Business Application Cost:
46. Taxable
47. Name
    Business License Application
48. Quantity
49. Shipping Cost
51. 
    
53. Please notify us of any address or emergency contact changes throughout the year. Business registrations are not transferable. A new registration must be issued for a new business.

    If you have questions, please contact Economic Development Director Kim Fleming at 704 940-9622 or kfleming@townofdavidson.org.
55. 
    
57. 
    
59. By checking the box below, I agree that all information presented in this application is correct to the best of my knowledge. The checked box is in lieu of my signature. *

    1. I agree
61. 
    
63. The information below is for internal use only. Please do not fill out this form below this point.
65. 
    
67. Comments:
69. Department approval signature:
71. Date:
73. 
    
75. NOTE: Charges made to the Town of Davidson may show up as “EBS-ECS ePay” or “EBS Davidson” on your credit card statement.
Leave This Blank:


76. Calculate Totals Proceed to Checkout

* indicates a required field