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2. 
3. City of Middleton Solicitor's Application

   Per Middleton Code of Ordinances 7.05 "Solicitor" means any person who for compensation or other consideration plans, conducts, manages or carries on any drive or campaign in the City for the purpose of soliciting contributions, travels from house to house for or on behalf of any charitable organization or any other person, or who engages in the business of, or holds him or herself out to persons in this state as independently engaged in the business of soliciting contributions for such purpose. A bona fide officer or employee of a charitable organization is not deemed a solicitor unless his or her salary or other compensation is computed based on the funds to be raised or actually raised. A "Charitable Organization" means any benevolent, philanthropic, patriotic or eleemosynary person, partnership, association or corporation, or one purporting to be such. 

5. Chapter 7 of the Middleton Code of Ordinances
   Chapter 7 City of Middleton Code of Ordinances
7. Organization Name*
8. Phone*
10. Address1*
12. City*
13. State*
14. Zip*
16. Purpose of Organization*
18. Is this organization registered with the State Department of Regulation and Licensing under Wis. Stat. 440.41?**

    1. Yes*
    2. No**

    Please upload appropriate form below based on this answer. 

20. *If yes, please provide a complete copy of the registration form and supporting materials under Wis. Stat. s.440.41(2), the latest annual report under Wis. Stat. s.440.41(4), and the registration materials, bond, and contract under Wis. Stat. s.440.41(5)(6)(7).
21. ** If no, please provide a copy of the organization’s registration form and latest filed federal tax form.
23. What is the amount of comissions, fees, wages, or emouluments, if any, to be expected in connection with this solicitations? If none, type "none". *
25. Persons who will engage in soliciting
27. List the First and Last name of each person who will engage in soliciting*
29. Photo ID/DL Upload*

    Upload all identification for each solicitor as one file upload here.

31. Please list the time periods and routes each person will solicit*

    Attach a separate sheet below, if necessary.

33. Route attachment
37. The undersigned, being first duly sworn on oath, deposed and says that he/she is a member of the above organization and; that he/she has read and made complete answers to each question, and the his/her answers in each instance are true and correct. I attest that the above information is true and correct and that any false or incomplete information may result in denial of my application.
39. 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.
40. Initial here*
42. Please type name as shown on application above*
43. Date*
    Date
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field