SOLICITATION PERMIT
Permit is valid for one (1) year from approval date. No soliciting is permitted before 9:00 am or after 7:00 pm or on Sundays unless a prior appointment has been made with the individual.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Upload copy of valid driver's license or state ID card. Must be able to see picture and read information.
*
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Upload a valid copy of insurance card. Must show Insurance Company name, Insured Name, Vehicle Description and Policy Number.
*
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of
Description of Merchandise or Nature of Services:
Is this a non-profit organization? (If yes, please attach proof of status)*
*
Yes
No
*Upload proof of non-profit status if applicable.
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of
Please add any additional comments you may have:
By Clicking Here, you acknowledge that all information provided is true and accurate.
Submit & Make Payment
Approved by:
Date:
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