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City of Falcon Heights <br /> SOLICITOR REGISTRATION FORM <br /> (Charitable) <br /> 1. Name Address of Organization <br /> 2. Name of Registrant <br /> 3. Permanent Home Address <br /> 4. Names addresses of officers and no more than four of the directors of the <br /> organization. <br /> Name Address <br /> s Period during which solicitation is to be carried on. (give dates) <br /> 6. Purpose of the cause for which registration is sought. <br /> 7. Attach a list of names and addresses of all canvassers <br /> Dated this day of 19 <br /> 3solreg.cha <br />