City of Gallatin Connie Kittrell
132 West Main Street Gallatin, TN 37066-3244 (615) 451-5895 w ww.gallatintn.gov
Application for Charitable Solicitation
Name of Organization: ______________________________________________________________________________________
Date(s) Soliciting: __________________________ Address of Organization: ___________________________________
Contact Name: ______________________________ Phone Number: ______________________________________________
Address: _____________________________________ Email Address: ______________________________________________
Type of Organization: _______________________________________________________________________________________
Purpose for Soliciting: _______________________________________________________________________________________
List name(s) and age(s) of all persons soliciting in the City of Gallatin:
________________________________________________ ________________________________________________
________________________________________________ ________________________________________________
________________________________________________ ________________________________________________
________________________________________________ ________________________________________________
I hereby agree to abide by the laws of the City of Gallatin as set out in the Gallatin Municipal Code,
Chapter 11, Article IV. I further agree that all persons listed above will be advised of and will abide
by said laws, a copy of which has been given to me by the Recorder’s Office.
_________________________________________ ________________________________________
Signature of Responsible Party Date
This organization is hereby approved to solicit for charitable donations within the city limits of
Gallatin.
_________________________________________ ________________________________________
Gallatin City Recorder Date
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