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Application for a permit to make a street collection or sale

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					Application for a permit to make a street collection or sale

Police, Factories, etc (miscellaneous provisions) Act 1916
Local Government Act 1972

Please complete this form and return it to the address below. Guidance notes are provided
where appropriate.


 Name and address of person, society and committee




 Collection or sale


 Name, address and telephone number of Honorary
 Secretary




 Name and address of Honorary Treasurer




 Name and address of Auditor




 Name and address of Bankers




 Date of proposed collection/sale and between what hours




For guidance completing the form or further copies of the form please see www.salford.gov.uk/streetcollections or
contact us at the address below.

Licensing Department
Turnpike House. 631 Eccles New Road, Salford M50.1SW
Telephone:- 0161 920 8420

Ref: S200016.1                                                                                   Page 1 of 2
 Name of districts and where it is proposed to make such
 collection or sale


 Object of proposed collection/sale

 Is it proposed to pay commission to any collector or other
                                                              Yes       No
 person?

         If so, at what rate and to whom?


 If the collection/sale is for a war charity, state if such
 charity has been registered under the War Charities Act
 1916, and give name of registration authority and date of
 registration.


 Has a permit for a collection or sale for a similar object
                                                              Yes       No
 been refused?

         If so, by who Police or Licensing Authority?



 Applicant’s signature

 Date


 Address




 Telephone number


Please send this form to the address below (or e-mail if provided) together with any attachments indicated

Attachments required
none




For guidance completing the form or further copies of the form please see www.salford.gov.uk/streetcollections or
contact us at the address below.

Licensing Department
Turnpike House. 631 Eccles New Road, Salford M50.1SW
Telephone:- 0161 920 8420

Ref: S200016.1                                                                                    Page 2 of 2

				
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Description: Application for a permit to make a street collection or sale