Pike County Merchant License Application Phone Date of Application * Opening Date * Business Name * Business Location (This address will appear on the License) Business Location (This address will appear on the License) Street Business Location City, State, Zip Code Billing Address Biling Address is the same as Business Location (Please check if you would like to use address above for billing.) Type of Business * Phone Number * Fax Number Email MO Sales Tax # * Owner / Manager * Please list person(s) to contact regarding license reCAPTCHA
