Fireworks Sales
$1,500 Per Location * Required fields must be completed

Applicant Information






Business Information (location for which license is desired)





Mailing Address (Official address where correspondence may be sent, and complaints served.)


Mailing Address same as Business Address


Fireworks Information

select

I will be selling from a temporary, outdoor location* Yes No
I will be setting up a tent* Yes No

Certification/Signature

By submitting this application, I ,
the applicant, or individual legally authorized to sign for the corporation or partnership, state that upon signing this application, I understand and have read the provisions set forth in Chapter 15.01, the Code of the City of Wichita, Kansas, and certify that the information and answers herein contained are complete and true to the best of my knowledge. I understand I can only sell fireworks approved by the Wichita Fire Department.



Executed the .

Please sign your name below, using the mouse or your touch screen enabled device. To use mouse, left click and hold while dragging the mouse over the signature line.