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2. Company Information
4. Name of Company
6. Address of Company
8. City
9. State
10. Zip Code
12. Local Supervisor Full Name
14. Date of Birth
    Date of Birth
15. State
16. Phone Number
18. The following individuals have been checked by the Litchfield Police Department and are approved for a solicitation permit:
20. First Name
21. Last Name
23. Date of Birth
    Date of Birth
24. State
25. Phone Number
27. First Name
28. Last Name
30. Date of Birth
    Date of Birth
31. State
32. Phone Number
34. First Name
35. Last Name
37. Date of Birth
    Date of Birth
38. State
39. Phone Number
41. First Name
42. Last Name
44. Date of Birth
    Date of Birth
45. State
46. Phone Number
48. First Name
49. Last Name
51. Date of Birth
    Date of Birth
52. State
53. Phone Number
55. An application fee of $150, payable to the City of Litchfield, along with a $1,000 bond is due with application.
57. Name
    Application Fee
58. Price
59. Quantity
60. Shipping Cost
62. Name
    Bond
63. Price
64. Quantity
65. Shipping Cost
67. Taxable
69. Taxable
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70. Calculate Totals Proceed to Checkout

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