Please List the Last Three Places That You Have Sold Your Product

In applying for a Peddler’s License with the Town of Winterville, I give permission to the Winterville Police Department to check the following as reference checks.

Please list the last three places that you have sold your product.

Name of Location/Town:______

Address:______

Phone Number:______

Police Department Use Only
Date of contact:______Spoke with:______
Had no problems with vendor_____ Had several complaints from citizens_____
No permit was requested by this vendor_____

Name of Location/Town:______

Address:______

Phone Number:______

Police Department Use Only
Date of contact:______Spoke with:______
Had no problems with vendor_____ Had several complaints from citizens_____
No permit was requested by this vendor_____

Name of Location/Town:______

Address:______

Phone Number:______

Police Department Use Only
Date of contact:______Spoke with:______
Had no problems with vendor_____ Had several complaints from citizens_____
No permit was requested by this vendor_____

Driving History Completed:_____ Criminal Background Check Completed:_____