City of Hartsville
Vendor License Application
$25.00 Fee
This application is for a vendor license to sell goods within the city limits for special
events being held. Please fill out the form completely.
Business Name: ____________________________________________________________
Owner’s Name: ____________________________________________________________
Business Address: __________________________________________________________
City, State, & Zip Code: _____________________________________________________
Location of Sale: ___________________________________________________________
Dates of Sale: _____________________________________________________________
Signature: _______________________________________ Date: __________________
Telephone #:_________________________________________
For office use only:
Date Paid: _________________________________
__________________________________________________________________________
Signature of Finance Department Representative