Canvas Information

Dates of Canvas

Solicitor Information

Solicitor Information

Vendor/Organization

I HEREBY AGREE TO COMPLY WITH RESOLUTION NO. 98-12 WITH THE VILLAGE OF NEW LEXINGTON AND PROVIDE
PROOF OF IDENTITY TO THE NEW LEXINGTON POLICE DEPARTMENT BY VALID DRIVER’S LICENSE, VENDOR’S LICENSE
OR ANY OTHER IDENTIFICATION ACCEPTABLE TO THE POLICE.

AS DESCRIBED IN SECTION 2 OF THE CODIFIED RESOLUTION OF THE VILLAGE OF NEW LEXINGTON, ANY PERSON WHO
PROVIDES FALSE INFORMATION IN THE REGISTRATION SHALL BE FINED NOT MORE THAN ONE HUNDRED ($100)
AND/OR BE PROHIBITED FROM SELLING OR SOLICITING WITHIN THE VILLAGE FOR A PERIOD OF ONE (1) YEAR.

I understand by submitting this form, I attest to the accuracy of all information provided.