G://records unit directory/solicitor folder/solicitor registration/registration application
• Supply proof of non-profit status from the state where organized.
• Provide a list of all people who will be working in Maple Grove. Provide the following for each individual:
a. First, middle, and last name (FULL NAMES, not initials)
b. Date of birth
c. Attach a copy of Drivers license or government issued ID for all parties soliciting.
• List the three most recent locations where the organization has conducted business as a peddler or solicitor.
Name of organization: __________________________________________ Phone: (___) __________________________
Address: __________________________________________ City/State: _________________________ Zip: __________
Contact person: _______________________________________________ Phone: (___) ___________________________
State the purpose of the solicitation: ____________________________________________________________________
___________________________________________________________________________________________________
Will there be a commission, fee, wage, or emolument to be expended in connection with such solicitation? ___________
If yes, state amount and describe:________________________________________________________________________
____________________________________________________________________________________________________
Date(s) of solicitation: _________________________ Day(s) of week & hours of solicitation: ______________________
Name, title, and phone numbers of who will supervise the solicitors:
1.) ________________________________________________________________________________________________
2.) ________________________________________________________________________________________________
3.) ________________________________________________________________________________________________
List the three most recent locations that you currently or have previously had licenses, permits or registration to solicit:
1.) ________________________________________________________________________________________________
2.) ________________________________________________________________________________________________
3.) ________________________________________________________________________________________________
S
ignature ____________________________________________________________________ Date __________________
S
olicitor/Commercial Canvasser Registration - City of Maple Grove
Police Department – Records
12800 Arbor Lakes Parkway N
Maple Grove, MN 55369
Office: (763) 494-6100 – Fax: (763) 494-6431
INFORMATION – Please print or type.
I swear that all the information contained on this form to be true. I authorize investigation of all statements on this application. I understand that the misrepresentation
or the omission of facts called for shall be just cause of the denial of the requested application.
click to sign
signature
click to edit
![]()
