ACT60 Application - Your Business

Your PUERTO RICO BUSINESS

Select the Alcoholic Beverages License Class for your business.
Company Name	Trade Name	Company Organization
Company Phone	Company Email
Physical Address in PR

Physical Address in PR

	Total Allocated Shares
Do you have a Physical Address in Puerto Rico? No Yes
If you currently don't have a Puerto Rico physical address, one will be assigned to you.
Street Address
Address Line 2
City	State / Province
Postal Code	Country / Territory
Is your Mailing Address the same as your Physical Address? No Yes

Mailing Address

Upload Company Logo Drop file(s) here
or

Click here for recommendations on uploading files.

Business Financials

Description of Business Services

These are estimates, not promises. They are used solely for the determination of potential economic benefit to Puerto Rico.

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Financial Projections: Year 1

Financial Projections: Year 2

Financial Projections: Year 3

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Will you provide services to an entity in existence OUTSIDE of PR? No Yes	Summary of Service Fulfillment
Upload 3-Year Financial Projections Drop file(s) here or Uploaded File(s) Click here for recommendations on uploading files.