No Knock Registry

I am requesting registration of the following address upon Borough of Berlin’s “Do Not Knock” Registry.

I am the (check appropriate) Owner  Occupant of the premises

FORM MUST BE COMPLETED IN ITS ENTIRELY

Information to be included on “Do Not Knock” Registry:

Street #:
 

Street Name:  


City:  


State: 


Zip Code: 


For Borough Clerk’s Purposes Only: (Applicant to Complete)

Resident's Name: 


Telephone: 


Owner's Name (if different than resident): 


Owner's Street Address:  


Owner's City:  


Owner's State: 


Owner's Zip: 


Initials: 


Date:


I understand that my address shall be placed upon a list to be kept by the Clerk, which will be updated once every two years. The list will be provided to any licensee who is issued a license to conduct door to door sales pursuant to Chapter 241 Section 241-3 of the Code of the Borough of Berlin. I understand that registration upon the “Do Not Knock” Registry does not prohibit door to door solicitation by non-profit, charitable, religious, or political organizations.