Apply by mail for a new Amusement Device Registration ($125.00)

Register a new Amusement Device
$125.00
To apply for this permit, enter the required information below and click "Next".

Applicant

 

Mailing Address

 
PO Box

Amusement Device

 
R.P.M.

Location

Signature of Applicant

 
Checking this box is the same as providing your signature
Checking this box and electronically sending this form constitutes your electronic signature.
2024-11-29 [20241129.1 (58204)]