City of Bastrop and city seal.

Office of the City Secretary

ITINERANT VENDOR/MERCHANT APPLICATION

Please type in, sign, date, and print, the application below and mail to:

Teresa Valdez, TRMC
City of Bastrop Secretary
P.O. Box 427
Bastrop, Texas 78602

You may also submit your application in person at the Bastrop City Hall, 904 Main Street, Bastrop, Texas.

Name:
Address:
Telephone Number:
Driver's License/I.D. Number:
Company Name:
Address:
Telephone Number:
Goods or Services Offered for Sale:
How will you be receiving payment for goods or services and will you receive payment in advance of final delivery?

Will you be selling/soliciting door-to-door or selling/soliciting from private property?

If selling on private property, what will be the location?

How long will you be selling or soliciting in the City of Bastrop?

In what area(s) within the City of Bastrop do you propose to sell?

Please list your Texas Sales Tax Permit Number :

If additional vendors will be working with, or for you, please provide the following:
Name:
Address:
Driver's License/I.D. Number:

Name:
Address:
Driver's License/I.D. Number:

Signature: ______________________________________Date:


Teresa Valdez, TRMC
City of Bastrop Secretary

904 Main Street, P.O. Box 427
Bastrop, Texas 78602

phone: 512-321-4520 / fax: 321-6684

e-mail: tvaldez@cityofbastrop.org


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