Circular-Free Property Decal Request

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

CityState / Province

Postal / Zip Code
Property Owner / Agent / Tenant's Name

First NameLast 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:
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.
Declaration
Signature
Should be Empty: