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2. Company Name*
3. Company Phone Number*
5. Point of Contact Email Address*
6. Street Address of Company*
8. City, State, and Zip Code of Company*
10. Names of those Soliciting*
12. Prices per Solicitor *

    Please select the length of the solicitation permit you are applying for.

    1. One Day ($15)
    2. One Week ($25)
    3. One Month ($125)
    4. One Year ($300)
13. Number of Solicitors*

    How many solicitors will you have?

    1. Less than 5
    2. 5-10
    3. 11-15
    4. 16-20
    5. More than 20

17. The City of Westfield's Clerk's Office will have ten (10) days from the date of submittal to approve or deny the application.

19. Ordinance 19-31
    Ordinance 19-31

    Please click here to review Ordinance 19-31

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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

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