Business License Application Form

Business

Once the application is received it will be considered submitted for review.

Approval may take up to 14 business days.

<form-template>
	<fields>
		<field type="header" subtype="h1" label="Business License Application Form" class="header"></field>
		<field type="text" subtype="text" required="true" label="Applicant:" class="form-control text-input" name="text-1623168786651" value="Applicant"></field>
		<field type="text" subtype="text" required="true" label="Phone Number:" class="form-control text-input" name="text-1623168813212" value="Phone Number:"></field>
		<field type="text" subtype="text" required="true" label="Address of Applicant:" class="form-control text-input" name="text-1623168854576" value="Address of Applicant:"></field>
		<field type="text" subtype="text" required="true" label="Name of Business:" class="form-control text-input" name="text-1623169392952" value="Name of Business:"></field>
		<field type="text" subtype="text" required="true" label="Billing Address (if different from above):" class="form-control text-input" name="text-1623169394084" value="Billing Address (if different from above);"></field>
		<field type="text" subtype="text" label="Web Page Address:" class="form-control text-input" name="text-1623169564734" value="Web Page Address:"></field>
		<field type="checkbox-group" required="true" label="Would you like to advertise in our Directory?" class="checkbox-group" name="checkbox-group-1623169700421">
			<option value="Yes" selected="true">Yes</option>
			<option value="No">No</option>
		</field>
		<field type="text" subtype="text" label="Name of Business Owner:" class="form-control text-input" name="text-1623170458203" value="Name of Business Owner:"></field>
		<field type="text" subtype="text" required="true" label="Nature of Business:" class="form-control text-input" name="text-1623170459888" value="Nature of Business:"></field>
		<field type="text" subtype="text" required="true" label="Physical Location of Business:" class="form-control text-input" name="text-1623170460583" value="Physical Location of Business:"></field>
		<field type="text" subtype="text" label="Alberta Consumer &amp;amp; Corporate Affairs License (if Applicable):" class="form-control text-input" name="text-1623170461082"></field>
		<field type="text" subtype="text" label="Business Vehicle" class="form-control text-input" name="text-1623170663535" value="Business Vehicle"></field>
		<field type="text" subtype="text" label="Make/Model/Year" class="form-control text-input" name="text-1623170664580" value="Make/Model/Year"></field>
		<field type="paragraph" subtype="p" label="The Business Owner is fully responsible  for if any of the following: Click on the requirement that is applicable." class="paragraph"></field>
		<field type="text" subtype="text" label="Alberta Safety Codes" class="form-control text-input" name="text-1623177337518"></field>
		<field type="checkbox" toggle="true" label="Building" class="checkbox" name="checkbox-1623177369957" value="Building"></field>
		<field type="checkbox" toggle="true" label="Plumbing" class="checkbox" name="checkbox-1623177386435" value="Plumbing"></field>
		<field type="checkbox" toggle="true" label="Electrical" class="checkbox" name="checkbox-1623177406573" value="Electrical"></field>
		<field type="checkbox" toggle="true" label="Alberta Health Services" class="checkbox" name="checkbox-1623177442762" value="Alberta Health Services"></field>
		<field type="checkbox" toggle="true" label="Any Act or Regulation pertinent to the Business." class="checkbox" name="checkbox-1623177488078" value="Any Act or Regulation pertinent to the Business."></field>
		<field type="checkbox" toggle="true" label="If you are not the landowner, provide a letter or lease/rental agreement." class="checkbox" name="checkbox-1623177529326"></field>
		<field type="header" subtype="h1" label="Business License Fees as per the Town of High Prairie Fees Bylaw 02-2021" class="header"></field>
		<field type="checkbox" toggle="true" label="Resident $50.00" class="checkbox" name="checkbox-1623177699775" value="Resident $50.00"></field>
		<field type="checkbox" toggle="true" label="Non Resident includes Big Lakes County $100.00" class="checkbox" name="checkbox-1623177736636"></field>
		<field type="paragraph" subtype="p" label="Includes but not limited to: Commercial, Minor Home Based, Building Construction,  Renovations, Mechanical Trades, Pawn Brokers, Taxis, Limousines, Mobile Home Park, Auctioneers, Circus, Hawkers, Peddlers, Street Performers  Paragraph" class="paragraph"></field>
		<field type="checkbox" toggle="true" label="Canvassers (Door to Door Sales $150.00 per license plus 25.00 per person" class="checkbox" name="checkbox-1623177835281"></field>
		<field type="header" subtype="h1" label="Payment Methods" class="header"></field>
		<field type="checkbox" toggle="true" label="E-Transfer to receivables@highprairie.ca - (type Business Name in the Notes)" class="checkbox" name="checkbox-1623178130877" value="E-Transfer to receivables@highprairie.ca - (type Business Name in the Notes)"></field>
		<field type="checkbox" toggle="true" label="Credit Card Payment call 780-523-3388" class="checkbox" name="checkbox-1623178215784" value="Credit Card Payment call 780-523-3388"></field>
		<field type="checkbox" toggle="true" label="Cheque or Money Order - mail to Box 179, High Prairie, AB T0G 1E0" class="checkbox" name="checkbox-1623178262485" value="Cheque or Money Order - mail to Box 179, High Prairie, AB T0G 1E0"></field>
		<field type="checkbox" toggle="true" label="Cash or Debit - 4806 - 53 Avenue, High Prairie, AB T0G 1E0" class="checkbox" name="checkbox-1623178326990" value="Cash or Debit - 4806 - 53 Avenue, High Prairie, AB T0G 1E0"></field>
		<field type="paragraph" subtype="p" label="I hereby certify that the information set out by me in this document is true and correct.
To the best of my knowledge and belief.

Once the application is received it will be considered submitted for review.  The application will not be processed until payment has been received." class="paragraph"></field>
		<field type="text" subtype="text" required="true" label="E-Signature" class="form-control text-input" name="text-1623178522513" value="E-Signature"></field>
	</fields>
</form-template>

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