An applicant shall register by: Submitting to the Director an application on the form that the Director provides; and Paying a nonrefundable application fee of Five Hundred Dollars ($500.00). The application shall state: The name, date of birth, and residential address of the applicant; The name and fixed address of the affiliated cemetery or burial goods business; Whether the cemetery or burial goods business with which the applicant is affiliated is owned or controlled by a partnership, limited liability company, or corporation; The name and residential address of each employee who sells cemetery goods or services to the public for the applicant while engaging in the operation of a cemetery or burial goods business; and Any other reasonable information that the Director determines is necessary to carry out this Division.