Application for permit to solicit door to door


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Richlandtown Borough 

125 South Main St. PO Box 455 

Richlandtown, PA  18955 

215-538-9290 (phone) 215-538-8040 (fax) 

www.richlandtownborough.org

 

 



APPLICATION FOR PERMIT TO SOLICIT DOOR TO DOOR 

 

Pursuant to Section 13-202 of the Code of Ordinances 



 

 

Name and address of organization of which solicitations will be made: 



 

 

Address & telephone number of organization: 



 

 

Name of Solicitor:  ______________________________________________________________ 



 

Address:  ______________________________________________________________________ 

 

DOB: _______ Place of Birth:  ____________ Social Security # __________________________ 



 

Date of Solicitation:  _____________________________________________________________ 

 

Will Solicitors seek advertising or contributions, financial or otherwise:  _____________________ 



 

Identification furnished by applicant:  _______________________________________________ 

 

Vehicles being used:  ____________________________________________________________ 



 

 

 



 

This is to certify that the necessary application has been filed and that permission is granted to  

 

______________________________________________________________________________ 



 

To solicit (type of solicitation) _____________________________________________________ 

 

In Richlandtown Borough on the dates indicated here:  __________________________________ 



 

 

 



 

 

 



 

 

Signed ___________________________________ 



 

 

 



 

 

 



 

Borough Secretary 




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