Doc #84218
BUSINESS LICENCE APPLICATION OUT OF TOWN BUSINESS
Business Information
Licence Holder: Please ensure name of Licence Holder is filled out here
□ Sole Proprietor
□ Partnership
□ Limited or Corporation
Trade or Operating Name:
Address & City:
Postal Code:
Email Address:
Have you ever held a business licence in City of New
Westminster?
Yes □ No □
If yes, when?
Business Telephone: ( ) -
Number of Employees On Site:
Trade Qualification No. (if applicable)
Full Description of Business Activity:
Licensee Information (Personal Information)
Licensee’s Name (in full):
Birth Date:
Home address:
Postal Code:
Home Tel:
Fax/Cell No:
Driver’s Licence:
Partnership Information (if applicable)
Partner’s Name (in full):
Partner’s Address:
Postal Code:
Home Tel:
Fax/Cell No:
Driver’s Licence:
OFFICE USE ONLY:
Account No:
Business Licence No:
NAICS Code:
Business Licence Fee: $
Type of Business:
Information Confirmed By:
I hereby make application for a business licence in accordance with all the information as above stated and declare that this is
a true and correct statement and further agree to comply with all the relevant bylaws of the CORPORATION OF THE CITY
OF NEW WESTMINSTER.
Personal information contained on this form is collected under the Freedom of Information and Protection of Privacy Act,
Sec. 26 (c) and will be used only for the purpose indicated. Business information will be shared with the public via the City’s open
data and upon request. If you have any questions regarding this information contact Legislative Services 604-527-4523.
Submitted by: Name _____________________________ Date ___________________
Signature ______________________________________
511 Royal Avenue New Westminster BC V3L 1H9 Tel: (604) 527-4565 Fax: (604) 515-3757
Email: businesslicences@newwestcity.ca
SUBMIT
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