Business License Application

This application can be printed and emailed through the pdf link below, and sent to j.walker@galenaks.gov or dropped off at the City Clerks office at 211 W 7th St. Galena, Kansas 66739. For more information contact us at 620-783-5265 ext. 7. You may also fill out the form online and submit. If you have any questions please give us a call.

Payments: Payments can be made over the phone at 620-783-5265 ext. 1, mailed to 211 W 7th St. Galena, KS 66739 or paid online at https://galenaks.frontdeskgworks.com/plugin/payments/guest-payments-session.html

Fees: General License: $35.00, Contractor License: $50.00, Banking/Railroad: $100.00

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Business License Application

Common Name of Business (DBA) *

Legal Name of Business (if different from DBA)

Type of Business

Examples: Contractor, Physician, Retail Sales, etc.

TAX ID Number *

In house use only.

Licensing Email *

To be used for all notifications regarding business licensing.

Business Phone *

Business Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Mailing Address

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

If different than the Business Address

Contact Person for Licensing *

First

Last

This is kept private.

Contact Persons Phone *

This is kept private.

Emergency Contact *

First

Last

To be used in emergency situations. This is kept private.

Emergency Contact Phone *

Please list a cell phone number that you can be reached during out of office hours. This is kept private.

If you are a contractor, please be more specific and tell us what types of services that you provide

File Upload

Drag & Drop Files, Choose Files to Upload

If you are a new business or you have let your license expire, please attach a Certificate of Insurance for your business. If this is not attached there may be a delay in issuing your Business License.

Licensing fees

Fees can be paid over the phone at 620-783-5265 ext. 1, mailed to 211 W 7th St. Galena, KS 66739 or paid online at https://galenaks.frontdeskgworks.com/plugin/payments/guest-payments-session.html

Submit