One application will need to be submitted for each solicitor. After completing the application, payment can be made via credit card by calling 319-743-6301 or submitting payment to Marion City Hall, 1225 6th Avenue, Marion, IA 52302.

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APPLICANT INFORMATION

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APPLICANT INFORMATION

Applicant Name:

Applicant Email:

Applicant Phone #:ext.

Drivers License #:

Social Security #:

Applicant Date of Birth:

Applicant State of Birth:

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APPLICANT ADDRESSES

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APPLICANT ADDRESSES

Applicant Home Address:

Applicant Home City:

Applicant Home State:

Applicant Home Zip:

Applicant Local Address (in Cedar Rapids/Marion area):

Applicant Local City:

Applicant Local State:

Applicant Local Zip:

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APPLICANT IDENTIFYING FEATURES

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APPLICANT IDENTIFYING FEATURES

Gender:

Weight:

Height:

Eye Color:

Hair Color:

Race:

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PREVIOUS LOCATIONS APPLICANT CONDUCTED BUSINESS

Have you conducted business in any other community?

PREVIOUS LOCATIONS APPLICANT CONDUCTED BUSINESS Have you conducted business in any other community?

Yes - I have conducted business in another commmunity

No - I have not conducted business in another community

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