Forms • Angel Fire, NM • CivicEngage

Type of Business Registration*

	New Application
	Business Renewal

	Business Relocation
	Business Termination

Name of Business*

Physical Business Address

Mailing Address of Business

City

State

Zip Code

Business Telephone

Cell Phone

General Partner or President Name

Business Name as filed in the State of New Mexico for tax purposes

New Mexico CRS# for tax purposes

Tax ID #

Number

Signature

Date

Print Name

Title

Please Check One*

	Sole Proprietor
	Partnership

Corporation

Type of Business*

* indicates required fields.