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SOLICITOR NOTICE OF INTENT APPLICATION

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Steps

1. Solicitor Notice of Intent Application(current) This section is complete This section is incomplete
2. Hours of Operation This section is complete This section is incomplete
3. Company Information This section is complete This section is incomplete
4. Acknowledgement This section is complete This section is incomplete

Solicitor Notice of Intent Application

City of Sunbury
PO Box 508 Sunbury, OH 43074
Date
Date
Date
Applicant/Contact Information
First Name
Last Name
Email Address
Address
City
State
Zip Code
Phone Number
Fax Number
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Hours of Operation

Please indicate what days and time you will be soliciting:
Must be during 10:00 AM - 6:00 PM unless otherwise approved.
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Company Information

Company Name:
Company Address:
Company Telephone Number:
Liability Insurance Policy & Number:
Please bring copy with you
Make, Model & License Plate # of Vehicle(s):
Please bring copy of driver's license with you.
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Acknowledgement

The facts set forth above in my application for Solicitor Notice of Intent are true and complete. I understand false statements shall be considered sufficient cause for denial and/or revocation. To the fullest extent permitted by laws and regulations, applicant shall identify and hold harmless the Village of Sunbury and its officers, employees and agents from and against all claims, suits, damages, costs, demands, losses and expenses, direct, indirect or consequential (including but not limited to fees and charges of attorneys and other professionals and court and arbitration costs) arising out of or resulting from the performance under this registration permit. The applicant is entirely and solely responsible for all acts while engaged in the operation of solicitation in Sunbury.
You should not, in any way, interpret this registration permit to mean that Sunbury or any department, officer or employee thereof, endorses the applicant, the company, or the product being sold.
Signature

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1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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