* Required

Doing Business As (ex: Red Lobster)
Corporate Name (ex: Fish and Shrimp USA LLC)
Business Address (Must be physical location, not a Post Office Box)	Verifying Address... Verified! Not recognized as a valid USPS address. Valid USPS address but is missing UNIT/STE #. Valid USPS address but UNIT/STE # is not recognized. PO Box is not allowed in business address. Verify Address Edit
Mail Address	Same as address above
	Verifying Address... Verified! Not recognized as a valid USPS address. Valid USPS address but is missing UNIT/STE #. Valid USPS address but UNIT/STE # is not recognized. PO Box is not allowed in business address. Verify Address Edit
Business Description
Ownership Type	Corporation Disabled Veteran LLC Non-Profit Partnership Sole Proprietorship
Employee Count *
Enter the total yearly income from all sales and/or services before any deductions (estimate if this is a brand new business). *
Start Date in City of Valdosta (estimate if in the future)
Contact Information
Phone
Phone 2
Fax
Website
Email Address
FEIN
SEIN
Contact Preference	Contact me by email whenever possible, in order to ensure timely notices and help protect the environment by conserving resources.
SIC Code	Type in at least 3 characters to search for SIC...
State License Information (Contractor, Medical, CAMTC, etc.)
State License # (Not Drivers Licenese)
State License Type
State License Expire Date
State License Verification *
File Attachments (if required).
State Issued Picture ID
File Description
	*This file type is not allowed. List of supported file types.
Regulated State License (Not a Drivers License)
File Description
	*This file type is not allowed. List of supported file types.
Business License from Current Municipality
File Description
	*This file type is not allowed. List of supported file types.
Business License Citizenship Affadavit
File Description
	*This file type is not allowed. List of supported file types.
Private Employer Affadavit
File Description
	*This file type is not allowed. List of supported file types.
*Cumulative file size can not exceed 89MB. Please reduce the size of your files and try again.