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2. This registration form is for charitable organizations undertaking a charitable solicitation under Roanoke County Code § 19-21, Ordinance Number 040924-4.d. Please answer all questions. For more information, please call 540-772-2005.or email us.
4. Applicant Information
6. Name of the charitable organization:*
8. Names of any solicitors engaged in or to be engaged in charitable solicitiations on behalf of the organization:*
10. Dates and times that the solicitors will be soliciting in Roanoke County:*
12. Applicant's Contact Information
14. Applicant Name:*
16. Applicant Email:*
18. Applicant Phone:*
20. Address:*
22. City:*
23. State:*
24. ZIP:*
26. Effective July 1, 2002, HB731 of the 2002 Virginia General Assembly updated the Virginia Freedom of Information Act. Email subscribers receiving information from a public body may, at their request, be exempt from having their email address given out should the email list be requested under the Freedom of Information Act (FOIA). If you would like to be exempted, please call (540) 772-2003.
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

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