City of Galena
211 W. 7
th
* Galena, Kansas 66739
Phone (620) 783-5265 * Fax (620) 783-5111
The Oldest Mining Town in Southeast Kansas
1877
Business License Application
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Common Name of Business(DBA) Legal Name of Business (if different from DBA)
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Type of Business (Contractor, Physician, Retail Sales etc.) Sales Tax I.D. Number
Physical Business Address:
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Number/Street City State Zip
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Business Phone Number Business Fax Number
Mailing Address: (If different from Business Address)
Number/Street City State Zip
Contact Person: ________________________________________________________________
Number/Street City State Zip
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Contact Phone Number Cell Phone Number
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Email address
PLEASE CONTACT US IF YOU DISCONTINUE YOUR BUSINESS
THANK YOU!
CLEAR
SUBMIT