Annual Business Registration – The Town Of Irvington

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BUSINESS DIRECTORY REGISTRATION (No Fee)

1 (804) 438-6230 info@irvingtonva.gov
PO Box 174, Irvington, VA 22480

INSTRUCTIONS:

The Town of Irvington requests that any person engaged in business activity, intending to change their business activity, or intending to open a new business in the Town of Irvington please use this form to supply information so that the Town Office can communicate important guidance and/or assist in zoning compliance. Completing this form will also add you to our online directory of businesses in Irvington. Register by completing this form online or downloading it from the link above and submitting it by mail to Town Clerk, Town of Irvington, P. O. Box 174, Irvington, VA 22480.

Name of Business (Corporate and DBA/TA)

Registration Filing Status

New Business
Existing Business

Type of Business

Description of your business (for new businesses) or a summary of changes to your existing business (for previously registered businesses):

Physical Address of Business in Irvington

Address Line 1

City

State

Zip Code

Business Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Local Business Contact Name

Phone

You will receive a confirmation and copy of this form after submitting.

Agreement

By checking this box and typing my name below, I am electronically signing this form and agree that all the information provided above is accurate and true to the best of my knowledge.

Authorized Signer