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2. City Clerk's Office
   (712) 328-4616
4. Name of Business
6. Name of Owner/Manager
8. Mailing Address
10. City
11. State
12. Zip
14. Location of Business
    If different than mailing address
16. City
17. State
18. Zip
20. Purpose of Solicitation
22. List all Employees going door to door
24. Dates and times employees will be going door to door
26. I hereby Certify that I am of good moral character and a citizen of Council Bluffs, Iowa.
28. Signature
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

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