Solicitation License Form

Allendale Charter Township Solicitation License Form

Name of Business:

Business Email

Business Address:

Street Address Address Line 2 City State ZIP Code

Business Phone number:

Michigan Sales Tax Number:

Number of Individual Solicitors:

Number of Vehicles:

Type of merchandise or publications to be distributed:

Solicitor’s Name:

Date

Solicitor's Email

Solicitor’s Address:

Street Address Address Line 2 City State ZIP Code

Phone number:

Cell number:

Type of Vehicle:

License Plate Number:

Drivers License Number:

To complete your application you must also reach out to the Allendale Charter Township Clerk’s office to submit a copy of your driver’s license.

Solicitor’s Date of Birth:

Length of Time in the Township—Start date:

End date:

Have you applied for a Solicitation License in the Township in the past?

Yes

The information provided in this application for solicitation is true and complete to the best of my knowledge. The Township (Ottawa County Sheriff’s Department) has my permission to contact directly or employ the services of investigative agencies to do a background check to obtain all necessary information from the above applicant. I release all parties from any possible damages resulting from receiving such information with or without written notice to me. The above information will be shared with the Clerk’s office and the Ottawa County Sheriff’s Department.
I agree to abide by all federal, state, and local laws and ordinances.
I understand that if there is a warrant out for my arrest, this application will be rejected, and I cannot reapply for a solicitors license for sixty (60) days.
I have read and understand the Solicitors Regulation Ordinance, and agree to follow the guidelines provided.

Signature of Applicant

First Middle Last

Address

Street Address Address Line 2 City State ZIP Code

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