City of Beacon No Door-to-Door Sales Visit Registration Form

     

No Knock Registry

I am requesting registration of the following address upon the City of Beacon “Do Not Knock” Registry. I understand that my address shall be placed upon a list to be kept by the City Clerk. Addresses will remain on the registry until notification to the City Clerk that the Owner or Occupant wishes to be removed. This list will be provided to any licensee who is issued a license to conduct door to door sales pursuant to Chapter 163 of the Code of the City of Beacon. In accordance with the Constitution of the United States and rulings of the United States Supreme Court, please be advised that registration upon the “Do Not Knock Registry” shall in no way prohibit door to door solicitation by charitable, religious or political organizations.

Please report any vendors not complying, to the City Clerk’s office at 845-838-5000.


* Indicates Required Field


Select option that is applicable: *

Information to be included on "Do Not Knock" Registry

Street Name: *
Street Number: *
Building or Apartment Number:
Zip Code:

For City Clerk's Purposes Only

Resident First Name: *
Resident Last Name: *
Telephone: *
Yes, I acknowledge that checking this box and hitting Submit constitutes my signature and I request that my address be added to the City of Beacon's Do Not Knock Registry: *