Booting Company Business Information - Nyc Department Of Consumer Affairs

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42 Broadway
BOOTING COMPANY
Lobby
New York, NY 10004
BUSINESS INFORMATION
Dial 311
(212-NEW-YORK)
I am submitting this form as part of:
New license application
Renewal license application
nyc.gov/dca
Amendment to update business information
Business Name:
Department of Consumer Affairs
(DCA) License Number (if applicable):
I certify the following statements:
1. I am authorized to submit this form on behalf of the business named above.
2. The business accepts at least two national credit cards for payment purposes.
These credit cards are:
MasterCard:
Yes
No
Visa:
Yes
No
Other: (Specify.)
3. The address provided below is where the booting company does business and
maintains the records that the business is required to keep and make available
for inspection by DCA during business hours.
Street Address
City
State
ZIP Code
4. I am aware of the business’s obligation under the Rules of the City of New York
Title 6 Section 2-404 (d) to notify DCA of any change in business address at
least 15 days in advance. (i.e., The business will complete and submit a new
Booting Company Business Information form.)
5. The attached section, Booting Services on Private Streets, includes an
accurate and current list of all private streets where the business provides
booting services and the rates the booting company charges.
6. The attached section, List of Properties Where Business Provides
Booting Services, is an accurate and current list of the properties, including
name and address of property owner, where the business engages in the
booting of vehicles.
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