“Do-Not-Knock” Registry Application
I am requesting registration of the following address in the Township of Verona for the “DO-NOT-KNOCK” Registry.

I understand that my address shall be placed on a list to be kept by the Township of Verona’s Municipal Clerk. Addresses will remain on the registry until notification to the Township that the owner or occupant wishes to be removed or relocates outside of the Township. The list will be provided to any licensee who is issued a license to conduct door to door sales pursuant to Ordinance #2019-14 of the Township of Verona.

I understand that registration on the “Do-Not-Knock” Registry does not prohibit door to door solicitation by non-profit, charitable, religious or political organizations.
Choose the appropriate option(s). *
Required
Information to be included on “Do-Not-Knock” Registry
Street Number *
Street Name *
Additional Information
For Verona Municipal Clerk Office Files ONLY
Resident's Name *
Resident's Phone Number *
Resident's Email *
Premises Owner Information
Fill out this section if the owner of the premises is different from the resident listed above.
Owner's Name
Owner's Phone Number
Owner's Email
Owner's Street Name and Number
Owner's City
Owner's State
Owner's Zip Code
Form Submission
I understand that my submission of this form acts as my signature. I certify that the above information is accurate to the best of my knowledge.
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