Solicitor and/or Canvasser Permit Application

This application is:

Initial Application

Renewal Application

Length of time

Annual Permit

Seasonal Permit

Daily Permit

Please state the number of days requested for the permit:

Name of Applicant

Street Address

Mailing Address

Phone

Age

Date of Birth

Height

Weight

Hair Color

Eye Color

Business Description

Briefly describe the nature of the business you will be undertaking, and the goods to be sold. If food handling is involved, specify the description of the food/beverage items:

Name of Employer

Relationship of Applicant to the Employer

Mailing Address of Employer

Describe the place where the goods proposed to be sold, or orders taken for the sale thereof, are manufactured or produced, where such goods or products are located at the time this application is filed, and the proposed method of delivery

Location where goods are manufactured or produced:

Where are these goods currently located:

Proposed Method of Delivery:

If a vehicle will be used, provide the following information:

Year

Make

Type

Color

State

License Plate Number

References

Provide the names, addresses and telephone numbers of at least two reliable property owners of Sussex County who are willing to attest to the applicant’s good character and business respectability. If references are not available, provide alternative evidence, which will attest to the applicant’s good character and business respectability:

Reference or Alternative Evidence

Please select if you will be providing references or alternative evidence:

I Will Provide References

I Will Provide Alternative Evidence

Reference 1

Reference 1 Name

Reference 1 Address

Reference 1 Phone

Add a second reference

I have a second reference

Reference 2

Reference 2 Name

Reference 2 Address

Reference 2 Phone

Alternative Evidence

Alternative Evidence Information

Municipalities History

Provide the names of any and all New Jersey municipalities in which you have solicited or canvassed within the past three months.

Municipalities

List the names of the municipalities. Please list each municipality on its own line.

Violation

Have you ever been convicted of a violation of a crime, misdemeanor, or violation of a municipal Ordinance?

Yes

Nature of Violation

Describe the nature of the Offense and the Punishment or Penalty assessed:

Checklist for Application Completion

The following are required. You may upload and submit your documents to this form. Formats supported: PDF, JPG, JPEG. Online payments are not supported at this time. Please provide the $5 fee to Wantage Township, 888 Route 23, Wantage, NJ 07461. (postal mail or in person)

Initial Application

The following are required. Photos should show the head and shoulders of the applicant and be about 2 x 2 inches in size.

Checklist

Two recent photographs of applicant

Fingerprints of applicant

Copy of Current NJ Sales Tax Certificate

Renewal Application

The following are required. Photos should show the head and shoulders of the applicant and be about 2 x 2 inches in size.

Checklist

Two recent photographs of applicant

Copy of Current NJ Sales Tax Certificate

Upload Documents

Upload Photographs of Applicant

Drop files here or

Max. file size: 10 MB, Max. files: 2.

Upload copy of fingerprints

Max. file size: 10 MB.

Upload Copy of Current NJ Sales Tax Certificate

Max. file size: 10 MB.

Signature

Date

Comments

This field is for validation purposes and should be left unchanged.

Solicitor and/or Canvasser Permit Application

Solicitor / Canvasser Permit Application

References

Reference 1

Reference 2

Alternative Evidence

Municipalities History

Checklist for Application Completion

Initial Application

Renewal Application

Upload Documents