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2. Name*
3. Phone*
5. Representing:
7. Company Name
8. Company Phone Number
10. Company Address
12. City
13. State
14. Zip Code

16. And the sum of $50 plus $25 per each additional employee, receipt of which is hereby acknowledged, permission is hereby granted said applicant for Solicitation.

    All permits shall expire one year from the date issuance, unless earlier expiration date is noted on the vendor or solicitor permit.

    This permit is not transferrable.

18. Sex
19. Height
21. Weight
22. Date of Birth
24. Driver's License Number
25. Driver's License State
27. Vehicle Make, Model and Color
29. Registration Plate Number
30. State of Registration
32. Prince George's County Permit Number*
33. City Manager or Designee
35. Date
    Date
37. Solicitor's Permit Fee
    Solicitor's Permit Fee
38. Price
39. Quantity
40. Shipping Cost
42. Taxable

44. This is not permission to use private property.

Leave This Blank:


46. Calculate Totals Proceed to Checkout

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