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Owner Resident

Apt/Ste/Unit/Other

Registration on the No-Knock Registry does not prohibit door to door solicitation by non-profit, charitable, religious or political organizations.

City

I understand that my address shall be placed upon the list to be kept by the Town Clerk. Addresses will remain on the registry until notification to the Town Clerk that the Owner or Occupant wishes to be removed. This list will be provided to any licensee who is issued a license to conduct door to door sales. In accordance with the Constitution of the United States and rulings of the United Supreme Court, please be advised that registration upon the No-Knock Registry shall in no way prohibit door to door visits by religious or political organizations.

Name

Address

Applicant Information

State *

I am requesting registration of the following address to the No-Knock Registry *

ZIP

Consent and Certification

The phone number and email you have provided will be added to our Borough notification system, Smart911/Rave. You will receive notifications regarding emergencies, weather alerts, upcoming events, garbage schedule changes, Police and traffic alerts, etc. If you would like to opt-out of receiving these notifications, please select yes.

Phone Number

Address *

Email Address *

Name *

Phone Number

City *

Applicant Signature *

Are you the owner or a resident? *

State

ZIP *

(Names and telephone numbers will remain confidential.)