Request for Solicitors Permit Appointment

2. Select the type of appointment you are requesting:
   -- Select One --New Master Permit with Individual Permit(s)New Individual Permit(s) added to existing Master Permit

4. Business Name*

   What is the name of your business? If a DBA, please provide business name and DBA name.

6. Business Address

8. City*

9. State*

10. Zip*

12. Full Name of primary contact*

    First and Last Name

13. Business position/title*

14. Cell Number

16. Email Address*

17. Business Phone*

19. Number of Individual Solicitors Permits*

    How many individual Solicitor Permits will you be applying for?

20. Current/Previous Master Permit Number

    Please provide the current/previous Master Permit number. If your business has never had one, please enter NONE

22. Products(s) or Service(s) for which you will be soliciting:*

24. If you're applying for a new Master Permit, will your business require the home owner to pay a deposit in advance of your company’s services or for any product ordered by them prior to its delivery?

    1. No
    2. Yes (We understand that we will need to provide a Surety Bond to the Town of Flower Mound for $5,000.)

26. For the notarizing of the Sworn Statement on the application form (Master / Individual Permit forms), will you require an FMPD Notary on the day of your solicitors appointment?

    1. Yes
    2. No (we will have application form(s) notarized by a Notary Public of our choosing prior to our appointment.)

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field