Form Center

2. Normal Police Department
   SOLICITOR REGISTRATION CERTIFICATE
   (309) 454-9535
   Permit is valid for thirty (30) days and must be signed.
   Hours May Solicit: 9:00 am - 9:00 pm.
4. Issue Date and Time:
   Leave Blank - For Internal Use Only
5. Last Day Can Legally Solicit:
   Leave Blank - For Internal Use Only
6. Permit Number:
   Leave Blank - For Internal Use Only
10. ISSUED TO:
11. First:*
12. Middle:*
13. Last:*
15. State Issued ID*
16. DOB:*
17. Age:*
18. Sex:*
20. Height:*
21. Weight:*
22. PHOTO:
    Internal Use Only
24. Hair:*
25. Eye:*
29. SELLING:
30. Selling What?*
31. Selling For (Company):*
32. Health Permit #
    Required if selling food
34. Company Phone Number*
35. Company Address:*
36. Company City*
37. Company State:*
39. Name and address of hotel where solicitors are staying*
43. VEHICLE INFO:
44. Make:*
45. Model:*
46. Year:*
48. Color:*
49. Plate #:*
50. State:*
52. While soliciting in the Town of Normal, each person shall carry at all times, this Registration Certificate and shall exhibit it upon demand by any police officer or by any person solicited. When the notice "NO SOLICITORS INVITED" is present, the solicitor shall immediately depart from the premises. Any solicitor who has gained entrance to any residence shall immediately and peacefully depart when asked to do so. No person shall stand on a highway for the purpose of soliciting without specific approval from the Town. Violation of these provisions shall be subject to a fine up to $500.00 for each offense.
54. Solicitor's Signature (leave blank - to be signed at police station)
55. Issuing Officer's Signature (leave blank - to be signed by Officer)
57. Please print and bring completed permit along with State ID to the Normal Police Department: 100 E. Phoenix Avenue, Normal, IL 61761.
Leave This Blank:


58. Print Only

* indicates a required field