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City of Deer Park - Residential Solicitor, Peddler, Canvasser Registration Application - Ordinance #3670
Each person, business, firm or corporation, making personal contact with a resident at their residence without prior specific invitation or appointment for the primary purpose of attempting to obtain a donation to a particular charitable, religious, patriotic, civic, fraternal, social service or organization, educational institution, philanthropic, non-profit organization, welfare, benevolent, or for political purposes for the purpose of selling goods or services or distributing handbills or flyers for a commercial event or service, for enlisting support for or against a particular religion, philosophy, ideology, political party, issue or candidate, even if incidental to accepting donations of money for or against such cause, is required to obtain a license.
Completion of this form no later than the 12^th calendar day prior to the event is required.
Name of Business/Individual/Organization:*
Physical Address:*
City*
State*
Zip*
Mailing Address (if different):
City
State
Zip
Phone Number:*
Email Address:*
Driver's License Number & State Issued:*
Date of Birth:*
Event Day(s) Contact / Responsible Party(ies).
If additional space for responsible party names is required, contact jrackley@deerparktx.org. If not providing a valid Texas Driver's License or ID, it is still a requirement to provide a valid state issued driver's license or ID. By typing your name below it represents the physical signature of the person.
Full name (first, middle, last)*
Date of Birth:*
Drivers License # & State Issued:*
Phone Number:*
Email Address:
Type your name as your digital signature:*
Full name (first, middle & last):
Date of Birth:
Drivers License # & State Issued:
Phone Number:
Email Address:
Type your name as your digital signature:
Type of solicitation, service or material to be distributed or sold:
Location of Event (provide address):*
If Entire City:
1. Entire City
Type of License:*
1. Residential Solicitor (no fee)
2. Canvasser (no fee)
3. Peddler ($15 fee)
List date of event:*
List date of event:
List here if additional dates are needed for event:
Note: Time of Event allowed only between hours of 10:00 am to 30 minutes before sunset.
File Upload*
File upload
File upload
File upload
Notification*
1. I acknowledge
By checking the box you acknowledge that you have read the legal notice and are aware of the ramifications of a violation of the City of Deer Park Ordinance No. 3670, and you further understand you are responsible for providing all responsible parties with a copy of the permit and ensuring compliance with the ordinance.
Ordinances can be found on the city's website - wwww.deerparktx.org under City Secretary - Code of Ordinances.
Type your name as your digital signature*
Date of Application*
Date of Application
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Residential Solicitor, Peddler, Canvasser Registration Application

Steps

Step One

City Secretary Checklist