Form Center

2. 
4. Applicant Information
6. First Name*
7. Last Name*
9. Date of Birth*
   Date of Birth
10. Phone
11. Cell Phone*
12. Email*
14. Address
18. Business Information
20. Name
22. Address
24. Phone
25. Cell Phone
26. Email
28. Business Description
30. Days of the Week
31. Dates
33. Hours

    9 a.m. to 9 p.m., Monday through Saturday. Sunday prohibited.

35. Vehicle Make, Model & Year*
36. Vehicle License Number*
38. Have you ever been convicted of a crime?*

    1. Yes
    2. No
39. If yes, please provide details.

41. Your application will not be reviewed until all of the required information and associated payment has been provided to the Borough of Phoenixville. In accordance with Borough Code Chapter 13, Part 7. The Borough shall approve or deny the application within 10 days.

    
    

    Payment must be received at submission of application.

43. Fees
    $25 per day
    $50 per week
    $100 per month
    $250 per year
45. Applicant Submissions
    Applicants must submit the following with their application:

    • Photo copy of valid identification
    • Copy of current Pennsylvania State Police Criminal record check
46. Attach Documents*
47. Attach Documents*
50. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
52. Electronic Signature*
Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit

* indicates a required field