PHIL WEISER
Attorney General
NATALIE HANLON LEH
Chief Deputy Attorney General
ERIC R. OLSON
Solicitor General
ERIC T. MEYER
Chief Operating Officer
.
STATE OF COLORADO
DEPARTMENT OF LAW
RALPH L. CARR
C
OLORADO JUDICIAL CENTER
1300 Broadway, 10th Floor
Denver, Colorado 80203
Phone (720) 508-6000
TELEMARKETING REGISTRATION APPLICATION
(Check one) Initial Application ($200.00) Renewal Application ($100.00)
NOTICES
Receipt of this form does not in any way constitute an assurance that the filed materials comply with
applicable law, and businesses bear sole responsibility for ensuring their practices comply with all applicable
laws and regulations.
Any material changes in the information provided by you on this form must be submitted in writing to the
Attorney General via the email address listed no later than ten (10) days after such change.
Each application for registration or renewal must be accompanied by a filing fee. Registration is effective
one year after the date of filing and must be renewed each year.
INSTRUCTIONS
Applicants should submit their application along with all required materials by email to CPAssist@coag.gov. Filing
fee checks should be made payable to Colorado Department of Law and must be mailed to the address below:
Colorado Department of Law
Consumer Protection Section
Ralph L. Carr Colorado Judicial Center
1300 Broadway, 7th Floor
Denver, CO 80203
1. Name:
Principal business address:
Address City State Zip Code
Principal business telephone number: ( )
Registration Contact Name & Title:
Registration Contact Email & Direct Phone #:
2. Form of business organization (Check one):
Sole proprietorship General partnership Limited partnership Corporation Limited Liability
Other (Explain here)
3. List all names under which applicant has done business or intends to do business:
4. List all parent organizations (including all trade names):
5. List all affiliated organizations (including all trade names):
6. List the following information for all locations from which applicant conducts business or will conduct
business (including mail drop locations, phone rooms, administrative offices, fulfillment and processing centers):
Name Address City State Zip Code
Name Address City State Zip Code
Name Address City State Zip Code
Name Address City State Zip Code
Name Address City State Zip Code
7. List all telephone numbers used by applicants and its agents:
( ) ( ) ( )
( ) ( ) ( )
( ) ( ) ( )
8. List the following information for each principal (owner, officer of a corporation, partner, member of an LLC,
sole proprietor or trustee) associated with the applicant and business:
Full Name of Principal Position (owner, partner, etc.)
Residential Address City State Zip Code
Full Name of Principal Position (owner, partner, etc.)
Residential Address City State Zip Code
Full Name of Principal Position (owner, partner, etc.)
Residential Address City State Zip Code
Full Name of Principal Position (owner, partner, etc.)
Residential Address City State Zip Code
9. List the following information for each person with management responsibilities in applicant’s business:
Full Name of Principal Position (owner, partner, etc.)
Residential Address City State Zip Code
Full Name of Principal Position (owner, partner, etc.)
Residential Address City State Zip Code
Full Name of Principal Position (owner, partner, etc.)
Residential Address City State Zip Code
Full Name of Principal Position (owner, partner, etc.)
Residential Address City State Zip Code
10. Give a complete, detailed description of the goods, services, property, or extension of credit applicant is
offering for sale. The description must include a physical description of the goods or an identification of the
manufacturer or supplier of such goods, services, property, or extension of credit, the price to be charged and any
conditions, restrictions, or warranties, if applicable.
11. The application must include a copy of all sales and verification scripts used by applicant. If no written
sales script is used, provide a detailed description of applicant’s sales presentation.
Pursuant to Colorado Revised Statutes § 6-1-304(1)(d), all telephone sales presentations must include a
disclosure of the consumer’s 3-day right to cancel the sale.
12. The application must also include a copy or representative example of all written materials you intend to
send to any purchaser.
13. If a prize, bonus, award, gift or premium is involved, please provide the following (if not applicable,
please note as “N/A”):
Complete description of each prize, bonus, award, gift, or
premium
Actual or approximate odds of a purchaser receiving the
prize, bonus, award, gift or premium
14. Please attach a copy of all rules, regulations, terms, restrictions and conditions for receiving any prize,
bonus, award, gift, or premium (if not applicable, please note as “N/A”).
15. Please be advised that the Colorado No-Call List Act, C.R.S. §6-1-901 et.seq., prohibits telephone
solicitations to any number registered on the Colorado No-Call List and requires all telemarketers to register with
the Colorado No-Call vendor before placing calls into Colorado. Registration may be done on-line at
www.coloradonocall.com.
TO BE EFFECTIVE, THIS APPLICATION MUST BE SIGNED BY ALL OF THE PRINCIPALS
LISTED IN THE RESPONSE TO QUESTION 9 ABOVE.
The undersigned, by their signatures, swear or affirm under penalty of perjury that the foregoing information is true
and complete to the best of their knowledge, information and belief.
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