Do Not Knock Registry

Occupant Name:

Cell Phone Number:

Email Address:

Street Number:

Street Name:

Disclaimer

By submitting this request, and clicking SUBMIT below, I hereby attest that I am the lawful owner and/or occupant of the above address. I understand that by submitting this request, my address will be placed on the Do-Not-Knock Registry. Once on the Registry, I understand that solicitors and/or peddlers shall not knock, ring the doorbell or otherwise physically call at my residence, house, apartment, or dwelling. I further understand that in order to remove my address, prior to the 5-year expiration date, from the Do-Not-Knock Registry, I must submit a request in writing to the Township Clerk.