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Charitable Organization Application

  1. Logo lower case.JPG

  2. Charitable Organization Application


    City Clerk's Office
    City Hall, 2nd Floor
    400 Washington Street
    Burlington, Iowa 52601

    Questions? (319) 753-8124

  3. First, Middle Initial, Last

  4. Address, City, State, Zip Code

  5. Address, City, State, Zip Code

  6. List all

  7. Time Period during which such activities are to be carried out

  8. Organizations, Institutions, or Charitable Organizations, either directly or through agents, shall not solicit public donations in the State of Iowa unless they have first obtained a permit from the Secretary of State. Exempt from this requirement of a permit from Secretary of State are LOCAL organizations, churches and schools soliciting funds or donations from within this county.

  9. Your electronic signature below indicates your agreement.

  10. Eric Tysland, Development & Parks Director

  11. Encroachment agreement needed?

  12. Doug Beaird, Police Chief

  13. Note: Must submit application to City Clerk's office two weeks prior to event for consideration.

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