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APPLICATION TO OPERATE A NEW OR RENEWAL …

APPLICATION TO OPERATE A NEW OR RENEWAL . COMMUTER VAN AUTHORITY. _____. Please visit to schedule an appointment to submit your completed APPLICATION , required documentation and fees via appointment. Please visit our website for more information at: Business Type - Please check one (1): Partnership Sole Proprietorship Corporation LLC. Base #: (Please enter your current license #. If APPLICATION is for new base APPLICATION please leave blank). I. BACKGROUND INFORMATION ON COMMUTER VAN AUTHORITY. (All fields in this section must be filled-out completely for your APPLICATION to be processed). Business Name: D/B/A: Email: (required). Website Address (required): Telephone #: EIN #: or SSN#: Proof of EIN / Social Security No. If a corporation or partnership, you must submit an IRS issued 145-C letter/notice. If a sole proprietor, you must submit proof of social 24 Hour Phone #: security number. FCC Lic. #: Details: (Or provide details of the alternate form of communication used).

APPLICATION TO OPERATE A NEW OR RENEWAL COMMUTER VAN AUTHORITY Commuter Van Authority New, Renew Application 5.11.17 D/B/A: Telephone #: I. BACKGROUND INFORMATION ON COMMUTER VAN AUTHORITY

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