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2. Vending License Application

   A vending license is required for all vending machines, including:

   • Food and/or drink vending machines - $50 per machine
   • Jukeboxes - $25 per machine
   • Mechanical, electronic, and/or electrical amusement devices - $100 per machine

   Items marked with an asterisk (*) are required.

4. Name of Owner or Applicant*
6. Name of Business*
8. Mailing Address*
10. City*
11. State*
12. Zip*
14. Email Address*
15. Phone Number*
17. For corporations only:

    If owner or applicant is a corporation, attach a copy of the Articles of Incorporation.

    Are any owners/officers of the corporation less than 21 years of age?

    1. Yes
    2. No
18. Upload Documents
20. For mechanical, electronic and/or electrical amusement devices:

    Are the machines located within 1,000 feet of any land used for school purposes by any public, private, parochial, vocational, junior college, college, university or seminary?

    1. Yes
    2. No
24. Vending Machine Information
26. Type of vending license*
    -- Select One --Food/Drink Vending MachinesJukeboxesMechanical, electronic and/or electrical amusement devices
27. Machine serial number*
29. Machine location*
30. Name of business where machine is located*
32. Contact person at business where machine is located
33. Contact person's phone number
37. Type of vending license
    -- Select One --Food/Drink Vending MachinesJukeboxesMechanical, electronic and/or electrical amusement devices
38. Machine serial number
40. Machine location
41. Name of business where machine is located
43. Contact person at business where machine is located
44. Contact person's phone number
46. Additional machines

    If you have additional vending machines which you need to license, please email the Tax Department or call 303-486-8299

50. Certification
52. Name*

    By submitting this application, I certify that the statements made in this application are true and correct to the best of my knowledge and belief.  Further, I have read and understand Chapter 6, Article 10 of the Greenwood Village Municipal Code regarding vending machines and amusement devices.

54. Title
55. Date*
Leave This Blank:


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

    This field is not part of the form submission.

58. Submit

* indicates a required field