Type Full Name :
Sign With Hand
State *
Provide details of the business that will sponsor the event.
Email *
Permit Fee
First Name *
Starting Date of the Event *
Address *
Describe the Goods or Merchandise you propose to sell at the Event
Phone *
Special Event Application
Sponsor Information
Applicant Information
City *
Number of Assistants *
Number of Days Event will be Held *
Background Information
Business Name
The above named applicant hereby makes application for "Special Event Permit" and agrees to abide by and be bound by the terms and conditions of an ordinance entitled "An Ordinance to license hawkers, peddlers, transient merchants, itinerant vendors, solicitors and new merchants in Your Town; repealing all inconsistent ordinances, "adopted November 29, 1933, as amended and supplemented. See: Ordinance amending Chapter 238 of the Town Code.
123 Main Ave, Your Town, USA 12345
(555) 973-2212
Has the Applicant ever been arrested or convicted of a crime or misdemeanor?
Last Name *
Full Address, City, State, Zip Code
Previous Address History
Name of Event *
List all of the addresses where the Applicant has resided for the last three (3) years.
Provide details of at least two (2) personal references.
If "Yes", provide details of the misdemeanor or crime
Number of Vehicles to be Operated *
Amount Due
Name of Event Coordinator *
Applicant Signature
Special Event permits are assessed at the fixed rate of $25.00 per day.
Event Information
Email *