Solicitation Registration

Dallas City Code Section 7.600

Effective July 1, 2025 - Application Fee $160.00

Name

Company

Phone

Address of Business, Residence, or Corporation

City/Town

State/Province

ZIP/Postal Code

Country

Applicant Type: (Please check one and complete the requested information)

Individual person

Partnership

Corporation

Association or Limited Liability Company

Other…

If a corporation, please fill out the following information:

Is this corporation organized under Oregon Law?

Yes

If no, where is the corporation registered?

Address

City/Town

State/Province

ZIP/Postal Code

Country

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Phone Number

Name of person in charge of Willamette Valley office

Name of registered agent of the corporation

Names of all officers and directors or trustees of the corporation

If an Association or Limited Liability Company, please fill out the following infromation:

Address

City/Town

State/Province

ZIP/Postal Code

Country

Phone Number

If the association or LLC is part of a multi-state organization, please provide complete mailing address and physical address of the local office

Does the association or LLC have more than 10 members?

Yes

If yes, list names and principal business/residence address and phone numbers of the officers, directors, trustees, or managers in the space below.

If no, list names and principal business/residence addresses and phone numbers of all members in the space below.

If the applicant is a partnership, corporation, association or LLC, please briefly describe the nature of the organization and explain the intended purpose of the solicitation.

Name

Phone

Maiiling Address

City/Town

State/Province

ZIP/Postal Code

Country

Name

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Country

Title

First

Middle

Last

SSN

Drivers License Number & State Issued

Attached a document with additional Names, complete addresses, social security numbers, and driver license numbers of all persons actually involved in solicitation activity here if needed.

One file only.
256 MB limit.
Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods.

Expected beginning and end date of solicitation

Describe methods and means of solicitation, including the approximate locations and dates of when those locations will be visited.

Names of other cities in which registrant has solicited in the past 5 years (if more than five, list 5 cities located nearest to Dallas)

Has any officer, director, trustee, partner, corporation or any current agent or employee or any other person actually engaged in the solicitation, signed a consent decree or order in the last five (5) years or been convicted of a felony or a misdemeanor involving moral terpitude within the past five (5) years?

Yes

If yes, please attach a sheet explaining fully the nature of the offense, or consent decree or order and explain where it occurred and when. If you are unable to provide any of this information, please explain why you are unable to do so

One file only.
256 MB limit.
Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods.

By checking yes below, I acknowledge that if a certificate of registration is granted, such certificate will not be used as or represented to be an endorsement by the City or any of its officers or employees.

Yes

I hereby swear or affirm that I have carefully read the registration statement and that all information contained therein is true and correct. (Note: signature must be by the applicant if registration is for an individual, by a partner if registration is for a partnership, by a manager if the registration is for a corporation, or by an officer if the registration is for an association or an LLC.)

Yes

The City of Dallas will contact you upon receiving this form. Payment can be made over the phone by card or in person at City Hall for all other payment forms.

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Fri, Jun 19 2026, All day
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Fri, Jul 3 2026, All day

Office Hours

Monday - Friday
8:00 am - 12:00 pm
1:00 pm - 5:00 pm

Email

recorder [at] dallasor.gov (recorder[at]dallasor[dot]gov)

Address

City Manager's Office
187 SE Court St
Dallas, OR 97338