RMARINA HERTFORD) TOWN OF HERTFORD BUSINESS REGISTRATION APPLIÇATION  FORJULY1, 2023  THROUGH. JUNE 30, 2024  Application Date: Business Name: Business Location: Business Mailing Address: Contact Name: Phone Number: Email Address: Description of Business:  Business Type: (circle one) Individual Partnership Corporation Other  Permit Information  Business Registration $25.00/year  Please send payments to: Town of Hertford Attention: Town Clerk PO Box 32 Hertford, NC: 27944  Under penalty prescribed by law, Ihereby affirm that the information provided on this application is true to  the best of my knowledge and belief.  Signed:  Title:  FOR OFFICE USE ONLY Date: Amt. Received: Received By: Customer Number: