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Direct Sellers Registration

  1. Logo
  2. City of Middleton - Direct Sellers Registration Application
  3. Have you been convicted of any crime, misdemeanor, or violation relating in any way to your business within the last five years? *
  4. Attachments
  5. Example:  a letter stating you own or work for the company

  6. Payment Method*

    Once you hit submit, you will be directed to the credit card processing page.  You may also mail a check to our office at 7426 Hubbard Avenue, Middleton, WI  53562.

  7. I attest that the above information is true and correct and that any false or incomplete information may result in denial of my application.
  8. By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
  9. Leave This Blank:

  10. This field is not part of the form submission.