2. Firm/Company Represented*
4. Firm/Company Address*
6. City*
7. State*
8. Zip*
10. Email Address*
11. Website Address
12. Goods to be sold:*
14. Specific location of peddle or solicit:*
16. Submit company insurance information (minimum $300,000 of general liability)*
18. Provide written statement from property owner consenting to use the property
20. A complete listing of any other permits issued by the City of Bowie within the past 5 years
22. Submit copies of TDSHS licenses/certificates/permits, if goods are food or beverage
24. Subscriber Name*
25. Phone*
26. Subscriber Email*
28. Subscriber Address*
30. City*
31. State*
32. Zip*
34. Other Person's Involved in Sale
36. 1. Name
37. Phone
38. Submit copy of identification
40. Address1
42. City
43. State
44. Zip
46. 2. Name
47. Phone
48. Submit copy of identification
50. Address1
52. City
53. State
54. Zip
56. 3. Name
57. Phone
58. Submit copy of identification
60. Address1
62. City
63. State
64. Zip
66. 4. Name
67. Phone
68. Submit copy of identification
70. Address1
72. City
73. State
74. Zip
76. 5. Name
77. Phone
78. Submit copy of identification
80. Address1
82. City
83. State
84. Zip
86. 6. Name
87. Phone
88. Submit copy of identification
90. Address1
92. City
93. State
94. Zip
96. 7. Name
97. Phone
98. Submit copy of identification
100. Address1
102. City
103. State
104. Zip
106. 8. Name
107. Phone
108. Submit copy of identification
110. Address1
112. City
113. State
114. Zip
116. 9. Name
117. Phone
118. Submit copy of identification
120. Address1
122. City
123. State
124. Zip
126. 10. Name
127. Phone
128. Submit copy of identification
130. Address1
132. City
133. State
134. Zip
136. Vehicle's Involved
138. 1. Vehicle License Plate Number*
139. State*
140. Year*
142. Year Model*
143. Make*
144. Color*
146. Submit copy of liability insurance
148. 2. Vehicle License Plate Number
149. State
150. Year
152. Year Model
153. Make
154. Color
156. Submit copy of liability insurance
158. 3. Vehicle License Plate Number
159. State
160. Year
162. Year Model
163. Make
164. Color
166. Submit copy of liability insurance
168. Acknowledgement

     I certify that by applying for this Peddlers and Solicitors license, I understand any limitations and requirements identified to me by the City of Bowie and I will abide by these limitations and requirements. I further understand that my failure to comply may result in the revocation of this license by the City of Bowie, I further understand that any false information herein shall result in denial of this license. I further understand that by submitting this application, I authorize the City of Bowie to conduct a criminal background check on all applicants. Failure to provide a complete application or the falsification of any part of the application shall be grounds for the denial or revocation of a license.

170. Electronic Signature*
171. Date/Time*
     Date/Time

     Date/Time

173. $50.00 Application Fee

     $200.00 License Fee, up to 5 sales associates

     $50.00 fee for additional sales associates

     Special Events permits - exempt from fees

175. For Office Use Only

     Application Approved_____________

     Permit Number _________________

     Permit Valid for 90 days

     Expires on ____________________

     Application denied __________

     Reason, if denied

     __________________________________________________________________________________________________________________________________________________________________________________________________________

     Code Enforcement Officer Signature

     ____________________________

     Date

     _____________________________

Leave This Blank:


177. Submit

* indicates a required field