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2. Liberty Township - Delaware County, Ohio

   7802 Liberty Road N., Powell, OH 43065

4. Per Liberty Township Resolution 17-0918-04 and in accordance with ORC 505.94, Transient Vendors must submit a Transient Vendor registration and be issued a Registration Certificate by Liberty Township prior to solicitation to any Liberty Township residential address. Liberty Township maintains a “Do Not Knock Registry”. This registry shall be provided to Transient Vendors with their Registration Certificate and is also available on the Township website, www.libertytwp.org. Solicitation is prohibited at any residence at which the owner or tenant has posted a sign on the property prohibiting solicitation and/or at those addresses listed on the “Do Not Knock” registry. Liberty Township prohibits solicitation between the hours of 8:00 PM and 9:00 AM, on Sundays and on legal holidays as defined by ORC 1.14. Pursuant to ORC 505.94, no Transient Vendor shall fail to register or comply with the regulations set forth in Resolution 17-0918-04. Violations shall be punishable as provided in ORC 505.99. Penalties shall be imposed in accordance with applicable section(s) of the Ohio Revised Code.
6. Solicitor - Last Name
7. First Name
8. Phone Number
10. Address
11. City
12. State
14. Zip Code
15. Email Address
16. Date of Birth
18. Physical Description of Solicitor:
20. Height
21. Weight
22. Hair Color
23. Eye Color
25. The following is regarding the Person or Entity employing the transient vendor/solicitor, or, for whom the applicant is soliciting.
27. Name of Person or Entity
28. Email address
30. Address of Person or Entity
31. Phone Number
33. Immediate Supervisor of Solicitor - Last Name
34. First Name
36. Address
37. Phone Number
38. Email Address
40. Federal Tax ID #
41. Description of goods, products or services being sold
43. Names of other municipalities in which the applicant is conducting soliciting activities
45. Upload a color headshot photo of the Solicitor Registrant
46. Upload an image of a valid government issued identification which includes a photograph of the Solicitor Registrant
48. Electronic Signature Agreement

    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.

    1. I agree.
50. Electronic Signature
Leave This Blank:


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

    This field is not part of the form submission.

56. Submit Submit and Print

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