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SOLICITOR’S LICENSE APPLICATION Page 1 of 3 For your convenience, City of Midland Code of Ordinances Sections 15-100 through 15-105 (regarding Solicitors) are included with this application. Form revision date: 04/21/2021 APPLICANT INFORMATION DATE: NAME: Last First Middle Phone Number PERMANENT HOME ADDRESS: Number Street City Zip Code LOCAL ADDRESS: Number Street City Zip Code DRIVER’S LICENSE: Number State VEHICLE LICENSE NUMBER: MAKE: MODEL: Have you ever been arrested for any reason? No Yes (Give dates, places, and alleged offense.) Have you ever been convicted of any felony? No Yes (Give complete record of all felony convictions including dates, places, nature of felony and punishment assessed.) Have you ever forfeited bail? (Give details.) PERSONAL DESCRIPTIVE DATA DATE OF BIRTH: HEIGHT: WEIGHT: Month Day Year BUILD: Slim Medium Heavy SEX: Male Female COLOR OF HAIR: COLOR OF EYES: CHARACTER OF THE SOLICITATION List the dates will you be soliciting within the City of Midland. Start Date: End Date: Briefly describe the type of solicitation business including general nature of goods or services: Describe how you provide your customers with the three day cancellation without penalty information. Do you ever ask for donations? No Yes City Hall 333 West Ellsworth Street Midland, Michigan 48640-5132 [PHONE REDACTED] [EMAIL REDACTED] ---PAGE BREAK--- SOLICITOR’S LICENSE APPLICATION Page 2 of 3 For your convenience, City of Midland Code of Ordinances Sections 15-100 through 15-105 (regarding Solicitors) are included with this application. FORM UPDATED: 04/21/2021 If employed at solicitation, name and address of employer: Name of Company Address (Home-Office) Phone Number Name of immediate supervisor: Name Work Address Phone Number Principle place of manufacture or production of goods proposed to be sold: Firm Name City State Warehouse location for Midland area: City State Describe the method of delivery of such goods: ATTACHMENTS Please include with this application the following: A. Credentials establishing applicant’s exact relationship to employer. B. Samples of all documents that a purchaser may be asked to sign resulting from your solicitation. C. Required photograph. I, the undersigned, hereby swear (affirm) that the statements made in this application are true and correct to the best of my knowledge. I further understand that misstatements and inaccuracies in the application are grounds for immediate termination of said license. I hereby authorize the City, its agents and employees to seek information and conduct an investigation into the truth of the statements set forth in the application and the qualifications of the applicant for this registration. Applicant’s Signature Date THIS APPLICATION MUST BE FILED WITH THE CITY CLERK APPROVAL The Midland Police Department has reviewed this completed application and certifies approval of license issuance by the City Clerk. Signature Title Date The Midland Police Department hereby returns this application without certification for the following reasons: Signature Title Date FOR OFFICE USE ONLY Attached Attached Attached SIGN ---PAGE BREAK--- SOLICITOR’S LICENSE APPLICATION Page 3 of 3 For your convenience, City of Midland Code of Ordinances Sections 15-100 through 15-105 (regarding Solicitors) are included with this application. FORM UPDATED: 04/21/2021 Midland, Michigan – Code of Ordinances Chapter 15 – Licenses and Business Regulations; Article IV. – Solicitors. ARTICLE IV. - SOLICITORS Footnotes: Editor's note— Ord. No. 763 adopted Oct. 26, 1970 amended this Code by adding Art. IV, 15-100— 15-105. Said ordinance is set out herein as enacted, including article title, catchlines and numbering of sections. Sec. 15-100. - "Solicitor" defined. The word "solicitor" as used in this article shall include any individual, whether a resident of the city or not, traveling either by foot, wagon, automobile, motor truck, or any other type of conveyance, from place to place, from house to house, or from street to street, taking or attempting to take orders for sale of goods, wares and merchandise, books or magazines, personal property of any nature whatsoever for future delivery, or for services to be furnished or performed in the future, whether or not such individual has, carries or exposes for sale a sample of the subject of such sale or whether he is collecting advance payments on such sales or not, and such definition shall include any person who, for himself, or for another person, hires, leases, uses, or occupies any building, structure, tent, railroad box car, boat, hotel room, lodging house, apartment, shop, or any other place within the city for the sole purpose of exhibiting samples and taking orders for future delivery. The word "solicitor" shall include the word "canvasser". (Ord. No. 763, 10-26-70) Sec. 15-101. - License required. No person shall engage in the business of solicitor within the city without first obtaining a license therefor from the city clerk. No such license shall be granted except upon certification of the chief of police. (Ord. No. 763, 10-26-70) Cross reference— Solicitor's fee, § 21-49. (Sec. 21-49. - Solicitor's fee. The fee for a solicitor's license shall be twenty dollars ($20.00) per year.) Sec. 15-102. - License application. The license application filed under the provisions of section 15-100 of this Code shall furnish the following information: a) Name and description of the applicant; b) Permanent home address and full local address of the applicant; c) A brief description of the nature of the business and the goods to be sold; d) If employed, the name and address of the employer, together with credentials establishing the exact relationship; e) The length of time for which the right to do business is desired; f) The place where the goods or property 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 said application is filed, and the proposed method of delivery; g) A photograph of the applicant, taken within sixty (60) days immediately prior to the date of the filing of the application, which picture shall be two inches by two inches showing the head and shoulders of the applicant in a clear and distinguishing manner; h) A statement as to whether or not the applicant has been convicted of any felony, the nature of the offense, and the punishment assessed therefor. (Ord. No. 763, 10-26-70) Sec. 15-103. - Fixed stands prohibited. No licensee shall stop or remain in any one place upon any street, alley or public place, longer than necessary to make a sale to a customer wishing to buy. (Ord. No. 763, 10-26-70) Sec. 15-104. - Practices prohibited. No solicitor shall shout or cry out his goods or merchandise, nor blow any horns, ring any bell or use any other similar device to attract the attention of the public. No solicitor shall call upon residents in their homes after daylight hours unless previously invited to do so by the resident. (Ord. No. 763, 10-26-70) Sec. 15-105. - Exempt persons. Persons engaged in soliciting on foot in the neighborhood of their residence under the direct supervision of any nonprofit, education, fraternal, charitable or religious organization with headquarters or a local chapter in the Midland area shall be exempt from the requirements of this article. (Ord. No. 763, 10-26-70)