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Application for Peddling and Soliciting License

  1. This for is an application for peddling and soliciting license.

    The fee is $25.00 per Application (Good for 30 days) and can be renewed every 30 days up to 90 days ($25.00 for each renewal).

    Permits can be picked up in the Police Department during normal business hours. (Monday through Friday from 8:00AM to 4:30PM)

    Each applicant must provide Driver’s License and Company ID at pick-up.  

    Please allow 1-3 business days for applications to be completed.

  2. First, Middle, Last

  3. Describe Any Motor Vehicle To Be Used In The Operation Of The Solicitation
  4. Organization or Business Information
  5. Does this busines have a License and pay Business Privilege Tax to Muhlenberg Township?*
  6. Identify the relationship between the Applicant and the Organization or Business*

    (Please select one)

  7. Type of Organization or Business*

    (Please select one)

  8. (License will be issued for a maximum of 30 days at a time)

  9. Location of Solicitation*

    (Please select one)

  10. Note: Pursuant to the Muhlenberg Township Code, Section 100-9, all itinerant merchants, peddlers and solicitors, including non-profit corporations and agencies, shall hold harmless the Township from any liability, damage or injury which is casually related to an act of ordinary negligence on the part of such itinerant merchant, peddler or solicitor.

  11. Electronic Signature Agreement

    I certify that all of the information contained in this application is true and correct.

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  12. Leave This Blank:

  13. This field is not part of the form submission.