Breadcrumb Home Existing Business Form Existing Business Form Please fill out the form below * Required Fields Business ID Please check all that applies: Change/Update Owner Information Change/Update Business Information Change/Update Device Information Change/Update Management Company Information Date of Change/Update Owner Information Owner Information Owner Name Owner Phone Number Owner Information 2 Street address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)CaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMicronesiaMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code E-mail Address (Required to receive confirmation receipt) Business Information Business Information Business Name Business Email Address Business Phone Number Business Address Business Contact Business Website Business Contact Role (Manager, Supervisor, etc) Business Type - None -Auto SupplyBeauty SupplyBooksBuilding SupplyClothingDiscountDrugElectronicsFarmers/Flea MktFoodGas StationsGroceryHomeLivestock ScaleMarijuana MedicalMisc.N/ANon-CommercialOffice - SuppliesOther - (Specify Below)OutletPet/FeedRecycling/WasteService AgencyService AgentsShipping/MailingSubmeterTaxi CabsVarietyVideo/Music/GamesWater dispensersWholesaler/Manufacturer Specify Other Business Type Device Information Have Measuring Devices? No Yes If yes, enter number of Measuring Devices Have Weighing Devices? No Yes If yes, enter number of Weighing Devices A WeighMaster? No Yes Have Petroleum? No Yes Have POS/Scanner Systems? No Yes If yes, enter number of POS/Scanner Systems Management Company Information (if applicable) Management Company Information Management Name Management Email Address Management Phone Number Management Company Information 2 Country - None -United States Street address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)CaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMicronesiaMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code Additional Information Leave this field blank
Please fill out the form below * Required Fields Business ID Please check all that applies: Change/Update Owner Information Change/Update Business Information Change/Update Device Information Change/Update Management Company Information Date of Change/Update Owner Information Owner Information Owner Name Owner Phone Number Owner Information 2 Street address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)CaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMicronesiaMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code E-mail Address (Required to receive confirmation receipt) Business Information Business Information Business Name Business Email Address Business Phone Number Business Address Business Contact Business Website Business Contact Role (Manager, Supervisor, etc) Business Type - None -Auto SupplyBeauty SupplyBooksBuilding SupplyClothingDiscountDrugElectronicsFarmers/Flea MktFoodGas StationsGroceryHomeLivestock ScaleMarijuana MedicalMisc.N/ANon-CommercialOffice - SuppliesOther - (Specify Below)OutletPet/FeedRecycling/WasteService AgencyService AgentsShipping/MailingSubmeterTaxi CabsVarietyVideo/Music/GamesWater dispensersWholesaler/Manufacturer Specify Other Business Type Device Information Have Measuring Devices? No Yes If yes, enter number of Measuring Devices Have Weighing Devices? No Yes If yes, enter number of Weighing Devices A WeighMaster? No Yes Have Petroleum? No Yes Have POS/Scanner Systems? No Yes If yes, enter number of POS/Scanner Systems Management Company Information (if applicable) Management Company Information Management Name Management Email Address Management Phone Number Management Company Information 2 Country - None -United States Street address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)CaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMicronesiaMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code Additional Information Leave this field blank
