City of Gustavus
P.O. Box 1, Gustavus, AK 99826
Telephone 907-697-2451 Fax 907-697-2136
https://cms.gustavus-ak.gov/
2021 MERCHANT REGISTRATION & BUSINESS PERMIT
Fee $25.00 (Resolution 2010-27)
Please type or print legibly. This form must be signed and dated.
Application Type
New Business. Date New Business Will Open:
(Check One)
Renewal to Business Permit Number:
Ownership
Sole Proprietorship
Partnership
(Check One)
LLC
Corporation
Business Name:
EIN:
DBA (if any):
Business Activity:
Business Owner(s):
Business Telephone:
Alt Telephone:
Business Email:
Business Website:
Preparer or Primary
Contact:
Name:
Email:
Tel:
Mailing Address:
Address:
City
State
Zip
Physical Address:
Address:
City
State
Zip
The City of Gustavus began producing a Business Directory in 2018, found online at:
https://cms.gustavus-ak.gov/community/page/community-business-directory
If you have no changes to your 2020 directory listing, check here:
For new businesses or to make changes, please complete the back side of this form.
04.14.150 All operators shall register with the City Treasurer before making rentals within the City. 04.15.150 All sellers shall register with
the City Treasurer before making retail sales, rendering services or making rentals within the City.
I do hereby attest that the above information is true and correct.
Signature
Title
Printed Name
Date
For City Use Only: Amount Paid: $__________ Business Permit # _______________________
Cash Receipt # ________ Check # _________ Credit Card Approval Code _________ Issued By: ________
click to sign
signature
click to edit
City of Gustavus
P.O. Box 1, Gustavus, AK 99826
Telephone 907-697-2451 Fax 907-697-2136
https://cms.gustavus-ak.gov/
Additional Information for
City of Gustavus Business Directory Listing
https://cms.gustavus-ak.gov/community/page/community-business-directory
Information received with paid fees prior to May 1
st
will be included in the current year’s
Business Directory.
For new directory entries, if no information is specified below, only the Business Name
and Business Mailing Address will be included in the Business Directory.
Business Name to
Appear in Directory:
Business Hours:
Photo for Directory:
Email a photo to clerk@gustavus-ak.gov. Please include Business Name
and “Business Directory photo” in email subject.
Business Categories:
(check no more than 3)
Accommodations
Art
Child Care
Commercial/Residential Services
Communications/IT/TV
Construction
Education/Consulting
Food & Beverage
Freight Pick Up & Delivery
Fuel
Health & Beauty
Mechanic
Newspaper
Non-Profit Organization
Rentals
Realty
Shopping
Specialty Services
Tours/Activities
Transportation
Address Options:
(check one)
Include Physical Address only
Include Mailing Address only
Include Physical & Mailing
Address
Don’t include an address
Other Information:
(check all that apply)
Include Business Telephone
Include Business Hours
Include Business Email
Include Business Website