CITY OF HUDSON
APPLICATION F
OR DIRECT SELLER LICENSE
(pursuant to Chapter 124 of Hudson Municipal Code)
APPLICATION FEE: $100.00
APPLICANT INFORMATION
Name: ____
____________________________________________________ Date: __________________
FIRST FULL MIDDLE LAST
Permanent Address: __________________________________________________ __________
Temporary Address: ______________________________________________
Phone: __________________________________ Email: _____________________________________________
Dr
iver’s License Number: _______________________________________________ State: ___________________
**Please attach a copy of driver’s license to the application**
DOB: _______________ Hair Color: __________ Eye Color: __________ Height: _________ Weight: _________
BUSINESS/SELLING INFORMATION
Name of Person, Firm/Company, Association or Corporation (please circle one) you represent or are employed by,
or whose merchandise is being sold: ______
Address: ________________________________________________________ Phone: _____________________
Nature of sales or solicitations to be conducted and brief description:
______________________________________________________________________________________________
Te
mporary location from which sales or solicitations will be conducted if any:
______________________________________________________________________________________________
Pro
posed dates/times of sales or solicitations: __________________________________________________
Wisconsin Seller’s Permit # Copy attached:____ yes ____no
Proposed method of delivery of goods, if applicable:
Ve
hicles to be used in the conduction of sales or solicitations:
Make: _________ Model/Color: _________________ License #______________ State: ____________
Last three cities, villages, or towns where applicant has conducted similar sales or solicitations:
1.________________________ 2.________________________ 3.________________________
Place where applicant can be contacted for at least 7 days after leaving this City:
_____________
Applicant Signature _______________________________________________ Date _____________________
*******************************************************************************************
Be prepared to present the following:
Driver’s license or proof of identity.
Copy of current Wisconsin Business tax Certificate (Seller’s Permit).
Copy of Health Inspection Certificate attached, if applicable.
Proof of authorization from property owner for use of private property for transient sales.
If sales or solicitations occur on private property, please attach written permission letter from the
property owner that allows you to conduct the sales you have described on this application.
If more than one person from a company will be selling, each person must have fill out a registration
application and pay fees.
Regulations Prohibited Practices:
A Direct Seller/Transient Seller or Solicitor shall be prohibited from:
1. Calling at any dwelling or other place between the hours of 8:00 p.m. and 9:00 a.m., except by
appointment.
2. Calling at any dwelling or other place where a sign is displayed bearing the words “No Peddlers”
or “No solicitors” or words of similar meaning.
3. Calling at the rear door of any dwelling place.
*******************************************************************************************
For Office Use Only
Receipt # ____________________ Registration # ______________________ Date ____________________
I, the undersigned, have made an investigation of the applicant, and hereby ( ) Approve ( ) Deny said
Applicant
Signature _____________________________________________________ Date _______________________
Hudson Chief of Police
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome