Schertz, TX

Application for Canvassing/Soliciting/Peddlers Permit

1. Step One This section is complete This section is incomplete
2. Applicant Information This section is complete This section is incomplete
3. Company/Firm Information This section is complete This section is incomplete
4. Goods/Services Offered This section is complete This section is incomplete
5. Applicant Acknowledgement This section is complete This section is incomplete
6. Police Department Review-For Police Use Only This section is complete This section is incomplete

Schertz Police Department 1400 Schertz Parkway #6 Schertz, TX 78154-1634 (210) 619-1200 Fax (210) 619-1220
Application for Canvassing/Soliciting/Peddlers Permit
Please print completed form and return to the Police Department during business hours.
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First Name
Last Name
Address
Please provide the address where you are residing while soliciting.
City
State
Zip Code
Permanent Address
Please provide your address of residence and/or the address which appears on your Driver License or ID.
City
State
Zip Code
Phone Number
Email Address
DOB
Sex
D.L. #
State of Issue
License Plate # of vehicle to be used
State in which vehicle is licensed
Vehicle Insurance Company
Policy #
Have you ever been convicted of, pled no contest to or received deferred adjudication for any criminal offense?
If yes, explain
1. Yes
2. No
Provide explanation here
List the cities where you have solicited in the last 90 days:
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Provide a full description of goods, wares, merchandise, tokens or other merchandise you desire to sell or offer
Will you, upon sale or order, demand, receive or accept payment or deposit of money in advance of final delivery?
1. Yes
2. No
Dates of Solicitation from start date to end date.
Dates of Solicitation from start date to end date. Start Date
—
Dates of Solicitation from start date to end date. End Date
Do you have advertising or solicitation materials (handouts, brochures, etc.) that you will provide the residents? If so, provide copies with this application for permit.
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By signing, I am certifying that I have read and am fully aware of the provision of the City of Schertz Code of Ordinances, Chapter 62, Peddlers and Solicitors.
By signing, I agree that the City of Schertz will conduct an investigation of my background to confirm the validity of the information provided on this application.
By signing, I agree that if I am granted a permit, the permit must be in my possession and visible at all times when conducting business within the city limits of the City of Schertz.
By signing, I understand that any falsified or omitted information on this application will result in the denial of a permit to canvass, solicit or peddle.
By signing, I understand that any violation of the City of Schertz Soliciting Ordinance will result in the revocation of my permit to canvass, solicit or peddle.
Signature of Applicant
Please sign upon printing the form.
Date
Date
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