NJ Criminal History record check is REQUIRED, log into https://www.njportal.com/njsp/criminalrecords Click the online form 212A tab, Input ORI# NJ0024400, and complete the form.

A Permit fee of $100.00 for each Soliciting/Peddling permit is payable to The Oradell Police Department in the form of a money order or certified check ONLY.

Providing false information on this applicant is a Disorderly Persons Offense under N.J.S.A. 2C:28-3 and a violation of the Oradell Borough Code 180.

I hereby certify the facts set forth on this application are true and complete. I hereby agree to all terms, restrictions, conditions and limitations are set forth in the permit and by Oradell Ordinances.

Business Name

First Name

Last Name

Business Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business Phone

(###)

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Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Race

Sex

Height

Weight

Hair

Eyes

Date of Birth

YYYY

Social Security #

Place of Birth

Driver's License #

Nature of Service or Merchandise Offered

Sales Tax ID

Business Vehicle

Personal Vehicle

Copy of Business Certificate

Have you ever been convicted of any crime, misdemeanor, disorderly persons offense or ordinance violation?

If Yes, state the nature of the offense or violation

List municipalities in NJ where this applicant has solicited in the last three years

355 Kinderkamack Rd Oradell, NJ 07649