Change of Information Form - Business Registration

Business Name(Required)

Registration Number

Expiration Date

Effective Date(Required)

Please provide a brief explanation(Required)

Effective Date(Required)

New Name(Required)

Effective Date(Required)

Email

Phone

Email

Phone

Email

Phone

By digitally signing this application, I agree to abide by the Business Registration requirements as stated in Bend Municipal Code Chapter 7.05. I warrant that the information provided in this application is true and agree that by typing my name in the signature box I am providing an electronic signature that is the legal equivalent of my manual signature on this application. Disclosure: Information on this application is a public record subject to disclosure upon request under the Oregon Public Records Law unless an exemption applies.

Signature(Required)

Date(Required)

Change of Information Form – Business Registration

Change of Information Form – Business Registration