Fillable BOROUGH OF CONSHOHOCKEN PEDDLING & SOLICITING LICENSE APPLICATION (Conshohocken Borough)

Fill Online, Printable, Fillable, Blank BOROUGH OF CONSHOHOCKEN PEDDLING & SOLICITING LICENSE APPLICATION (Conshohocken Borough) Form

Use Fill to complete blank online CONSHOHOCKEN BOROUGH (PA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

BOROUGH OF CONSHOHOCKEN PEDDLING & SOLICITING LICENSE APPLICATION (Conshohocken Borough)

On average this form takes 7 minutes to complete

The BOROUGH OF CONSHOHOCKEN PEDDLING & SOLICITING LICENSE APPLICATION (Conshohocken Borough) form is 2 pages long and contains:

  • 1 signature
  • 4 check-boxes
  • 24 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Conshohocken Borough

BROWSE CONSHOHOCKEN BOROUGH (PA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
_________________________________________________________________
400 Fayette Street, Suite 200, Conshohocken, PA 19428 - Phone: (610) 828-1092 • Fax (610) 828-0920 – www.ConshohockenPA.gov
1
BOROUGH OF CONSHOHOCKEN PEDDLING & SOLICITING LICENSE APPLICATION
APPLICATION REQUIREMENTS – Ordinance No. 4-2013
• A"written"application"completed"in"its"entirety"with"all"required"documents"attached"upon"submission."Any
omissions"will"result"in"a"denial."Each"staff"member"must"also"fill"out"and"sign"an"individual"applic a t io n
• Two"photographs,"(2”"x"3”"minimum)"taken"within"six"(6)"months"prior"to"date"of"application
• A"Certificate"of"Automobile"Liability"Coverage
• A"Criminal"History"Check"by"Pennsylvania"State"Police"within"the"past"30"days."For"more"details"visit:
http://.psp.state.pa.us"or"https://.epatch.state.pa.us/Home.jsp
• $100"fee"(check"or"cash"only)"for"a"Soliciting"Permit
• Four"(4)"licenses"p e r"month"m a y "b e "iss u e d . "A p p lic a tio n "may"be"made"on"the"first"business"day"of"each"month"on"a
first"come"first"basis.
• Soliciting"Permits"are"valid"for"30"days"from"the"date"of"issue.
• Hours"for"Peddling"and"Soliciting"is"10:00AM"until"7:00PM"Monday"thru"Friday
• License"may"not"be"transferred"from"one"person"to"anothe r."One"licensee"will"be"permitted"per"perso n.
• PLEASE"NOTE:"This"License"is"limited"to"th e"BORO UGH"OF"CONSHOHO CKEN"ONLY."Plymouth"Township,
Whitemarsh"Township,"and"West"Conshohocken"Borough"are"not"included.
Name: _________________________________________________________________ Sex: ______ M______ F
Date of Birth: _________________________ Social Security #: _________________________________________
Home Address: _________________________________________________________________________________
_________________________________________________________________________________
Home Phone: _______________________________ Cell Phone: _______________________________________
Email: __________________________________________ Business Phone: ________________________________
Business Name: _________________________________________________________________________________
Business Address: _______________________________________________________________________________
_______________________________________________________________________________
Business ID#: __________________________________ Sales Tax ID #: _________________________________
Montgomery County Vendor License #: ____________________________________________________________
Items/Food to Be Sold: ___________________________________________________________________________
_________________________________________________________________
400 Fayette Street, Suite 200, Conshohocken, PA 19428 - Phone: (610) 828-1092 • Fax (610) 828-0920 – www.ConshohockenPA.gov
!
!
2
________________________________________________________________________________________________
________________________________________________________________________________________________
Vehicle Information:
If using a vehicle, please list the following:
Make: _______________________________________ Model: ___________________________________________
License #: _______________________________________________________________________________________
Have you ever been convicted of a crime of any kind? _________ No _________ Yes
If yes, please explain below:
________________________________________________________________________________________________
________________________________________________________________________________________________
Applicant confirms that he/she has not committed crimes of any classification and understands that a
criminal record check will be performed. Applicant agrees that they have received a copy of Ordinance 4-
2013 and that they agree to comply with the terms and conditions of the Ordinance. Applicant also agrees
that they will comply with all of other Ordinances of the Borough of Conshohocken including Ordinance 6-
2006 concerning parking prohibitions.
Applicant Signature: ___________________________________________________ Date: ____________________
Each staff member must also fill out and sign and individual application
FOR OFFICE USE ONLY:
Certificate of Automobile Liability Coverage: _____________ Photo I.D. copy attached: _______________
Date of Background Check: _____________ Reviewed By: ___________________________________________
Background Check attached: _____________________
Fee Paid: _________ Permit # Issued: __________ Effective Date: __________ Expiration Date: __________
Borough Manager or his/her Designee Signature: ___________________________________________________
Revised'7/25/2016'
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

BOROUGH OF CONSHOHOCKEN PEDDLING & SOLICITING LICENSE APPLICATION (Conshohocken Borough)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document