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The following form may request personally identifiable or protected health information. Please see our Privacy Policy for details. This form is encrypted. SSL is on to ensure a higher level of security. A recaptcha must be completed before submission, you cannot save progress, and you cannot receive an email copy of the form.

Business Intake Form

  1. **To see application in Spanish, Click the Google Translate button in bottom right corner of screen**
  2. Interested in receiving the following information: (Select all that apply)
  3. Business Status
  4. Does 50% or more of your gross annual sales come from outside the state of New Mexico?
  5. Does 50% or more of your gross annual sales come from outside the city of Las Cruces?
  6. Gross Annual Sales
  7. Industry
  8. Business Type
  9. Owner Status (select all that apply)
  10. PRIVACY POLICY
  11. A computer communicates with the City of Las Cruces’ website using a particular Internet Protocol address (IP). Like most sites, the City of Las Cruces can track the user’s IP address when visiting the site. The IP address allows the City of Las Cruces to track for each user, information such as the IP address, the browser type, and the identity of the user’s Internet service provider: however, the IP address does not provide any personally identifiable information and allows the user to remain anonymous. This information helps the City to improve site navigation and to make improvements to the City’s website and content. To the extent that the City website contains or may in the future contain online registration forms for special activities or other services, an applicant may be asked during the application process for name, address, e-mail address, phone number, birth date, or other general or special purpose information needed to complete registration for the specific activity or service. To the extent that the City website contains or may in the future contain online volunteer or employment application forms, an applicant may be asked during the application process to provide name, address, e-mail address, phone number, driver’s license number, occupations, work experiences, employment history, education level, and/or references. To the extent that the City website contains or may in the future contain online payment services, the City of Las Cruces will collect personal information, such as name, postal address, e-mail address, and credit card number should you decide to use an online payment service.
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