Form Center

2. Pursuant to Ord. #134-06, I am requesting that the address listed below, of which I am an occupant, be listed on the Broadview Hts., Ohio "PEDDLERS/SOLICITORS DO NOT KNOCK REGISTRY". I understand that this information will be available on the City's website and for viewing at City Hall during normal business hours.

   
   

   
   

   PLEASE MAKE SURE YOUR ADDRESS IS NOT ALREADY ON THE LIST BEFORE SENDING

4. House Number*
5. Street*
6. Apt. No. (if applicable)
8. First Name*
9. Last Name*
11. Date*
13. Email Address:*
15. ELECTRONIC SIGNATURE:
17. By checking the box above I am hereby providing my signature electronically.
19. This residence will remain on the list until:g:
    1) The City receives a written notification of removal.
    2) The City receives notice that the person who submitted the form no longer occupies the premises.
    3)
21. Please allow 4 days for processing.
23. ................................................................................
25. If your address has not been added within a week's time please call 440-526-3664 for an update.

    Note that solicitors are NOT REQUIRED to register at City Hall & may not be aware of the Do Not Knock Registry. Therefore, please place a "NO SOLICITATION" sign visible to uninvited solicitors. Ord. 828.05 states that "...no person..shall call at any residence in the City which displays a no-solicitation sign.."
    
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

* indicates a required field