Circular-Free Property Decal Request
Complete and submit this form if you do not want to receive hand-delivered advertising circulars or handbills at your property.
Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Property Owner / Agent / Tenant's Name
*
First Name
Last Name
Property Owner / Agent / Tenant's Email
*
example@example.com
Property Owner / Agent / Tenant's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
A violation for leaving handbills / circulars at a property with a no-circulars sticker carries a $100 penalty. The address of the property must be included on the violation notice otherwise a violation cannot be processed. Please choose one:
*
I authorize the address provided above to appear on any violation notices issued for circulars / handbills left at my property.
I do not authorize my address to appear on violation notices. I understand this means that a violation for leaving circulars / handbills at my property cannot be issued.
Declaration
*
I hereby acknowledge that by signing this form, I no longer wish any unsolicited circulars / handbills, including sale circulars and coupons, to be left at my door. I further certify that the statements contained herein are true and correct to the best of my knowledge and belief.
Signature
*
Submit
Should be Empty: