Skip to main content
Vending Certificate Application
*
Business Name
*
Business Mailing Address
*
City, State, ZIP
*
Business Phone
*
Business Email
Location of Vending Machines
List all vending machines and their locations.
*
Address of Vending Machine
*
Type of Vending
Lotto, Air Pump, Gumball, Soda/Snack
*
Number of Vending
Address of Vending Machine
Type of Vending
Lotto, Air Pump, Gumball, Soda/Snack
Number of Vending
Address of Vending Machine
Type of Vending
Lotto, Air Pump, Gumball, Soda/Snack
Number of Vending
Address of Vending Machine
Type of Vending
Lotto, Air Pump, Gumball, Soda/Snack
Number of Vending
Address of Vending Machine
Type of Vending
Lotto, Air Pump, Gumball, Soda/Snack
Number of Vending
*
Signature
By checking this box, I authorize that I am allowing the village of Round Lake Beach to process my request for a business license.
You must choose at least one option
*
Date
Format: MM/DD/YYYY
*
Email
Submit
Submission is disabled until all form errors have been corrected.
Show Translate a beginning of page
January,
2025
Su
Mo
Tu
We
Th
Fr
Sa
29
30
31
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
Clear