Solicitor Permit Application

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SOLICITOR PERMIT APPLICATION

By submitting this form I authorize:

That the information provided in this application is true and correct to the best of my knowledge.
The City of Ennis to make an investigation of all information contained in this application for a Solicitor Permit, and authorize a criminal background history check as part of the permitting process.
I understand I may not go door to door until the permit is approved and issued.

*Applicant First Name

*Applicant Last Name

*Phone Number

*Home Address, State and Zip

*Email Address

*Date of Birth

*Driver's License/ID Number

*Copy of Driver's License/ID

*Social Security Number

*Name of Business or Organization

*Business/Organization Address, State and Zip

*Business/Organization Phone Number

*Supervisor Name

*Product or Service to be sold

Please list all cities in which you have conducted solicitation services in the past six months.

Vehicle(s) to be used in soliciting (if applicable). Include year, make, model and color.

*Have you or your employer ever been arrested, charged or convicted of a felony or misdemeanor?

If yes, list the nature of the offense and the punishment or penalty.

*Have you or your employer had a civil judgment or administrative decision entered or ordered against you, within ten years from date of this application, based upon fraud, deceit, theft, embezzlement, burglary, larceny, crimes against persons, fraudulent conversion, misrepresentation, or misappropriation of property?

If yes, provide a description of judgment or action, case number, and agency that rendered judgment or decision.

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