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Application for Canvassing/Soliciting/Peddlers Permit
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1.
Step One
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2.
Applicant Information
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3.
Company/Firm Information
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4.
Goods/Services Offered
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5.
Applicant Acknowledgement
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6.
Police Department Review
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Step One
Schertz Police Department 1400 Schertz Parkway #6 Schertz, TX 78154-1634 (210) 619-1200 Fax (210) 619-1220
Application for Canvassing/Soliciting/Peddlers Permit
In order to be in compliance with Chapter 62 of Schertz Code of Ordinances, an individual soliciting must obtain a permit from the City Manager. This is the application to solicit within the City limits of Schertz.
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Applicant Information
First Name
Last Name
Address
Please provide the address where you are residing while soliciting.
City
State
Zip Code
Permanent Address
Please provide your address of residence and/or the address which appears on your Driver License or ID.
City
State
Zip Code
Phone Number
Email Address
DOB
Sex
License Plate # of vehicle to be used
State in which vehicle is licensed
Vehicle Insurance Company
Policy #
Have you ever been convicted of, pled no contest to or received deferred adjudication for any criminal offense?
If yes, explain
Yes
No
Provide explanation here
List the cities where you have solicited in the last 90 days:
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Company/Firm Information
Company/Firm Name
Phone Number
Company/Firm Address
City
State
Zip Code
Website
Owner/CEO Information
Name
Phone Number
Address
City
State
Zip Code
Immediate Supervisor Information
Name
Title
Address
City
State
Zip Code
Office Phone
Cell Phone
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Goods/Services Offered
Provide a full description of goods, wares, merchandise, tokens or other merchandise you desire to sell or offer
Will you, upon sale or order, demand, receive or accept payment or deposit of money in advance of final delivery?
Yes
No
Dates of Solicitation from start date to end date.
Dates of Solicitation from start date to end date. Start Date
—
Dates of Solicitation from start date to end date. End Date
Do you have advertising or solicitation materials (handouts, brochures, etc.) that you will provide the residents? If so, provide copies with this application for permit.
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Applicant Acknowledgement
By signing, I am certifying that I have read and am fully aware of the provision of the City of Schertz Code of Ordinances, Chapter 62, Peddlers and Solicitors.
By signing, I agree that the City of Schertz will conduct an investigation of my background to confirm the validity of the information provided on this application.
By signing, I agree that if I am granted a permit, the permit must be in my possession and visible at all times when conducting business within the city limits of the City of Schertz.
By signing, I understand that any falsified or omitted information on this application will result in the denial of a permit to canvass, solicit or peddle.
By signing, I understand that any violation of the City of Schertz Soliciting Ordinance will result in the revocation of my permit to canvass, solicit or peddle.
Electronic Signature of Applicant
Date
Date
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Police Department Review
APPROVED
DISAPPROVED
Review and Comments:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Date:_________________________
Police Personnel Signature:_____________________________________________________
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