2. TOWNSHIP OF JACKSON

   OFFICE OF THE MUNICIPAL CLERK

   95 West veterans Highway

   Jackson, New Jersey 08527

   (732) 928-1200

   Fax (732)928-4377

4. APPLICATION FOR “NO KNOCK REGISTRY”

   PURSUANT TO CHAPTER 310, SECTION 6 OF THE ADMINISTRATIVE CODE OF 

   THE TOWNSHIP OF JACKSON ENTITLED

   “HAWKING, PEDDLING & SOLICITING”

6. Name
8. Address
10. City
11. State
12. Zip Code
14. Phone Number
15. Email Address
16. Date
    Date
18. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
20. Signature of Resident
22. Decal Issued

    1. In person

    1. Via U.S. mail
23. Date Issued
    Date Issued

25. The above owner and/or occupant has notified the Township Clerk that. 

    canvassing, peddling, itinerant vending and door-to-door sales

    enterprising are not permitted on the above referenced premises.

    This application can also be found online at Jacksontwpnj.net. 

    Your “No Knock” sticker will be mailed to you directly.

29. I, Sandra Martin, RMC, Municipal Clerk of Jackson Township in the County of Ocean, State of New Jersey, declare that the above referenced applicant has satisfied the requirements set forth in Ordinance #41-08 and #18-15 regarding “Hawking, Peddling and Soliciting–No Knock Registry”

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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

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