Vermont Office of Secretary of State
Corporations Division
128 State Street, Montpelier, VT 05633-1104
Telemarketing Registration form

Legal name of business registering:

Check this box if currently registered with the department of taxes as a tax solicitor.

Business type: corporation partnership trade name limited liability co

Principal address of business registering:

Street:
City: State: zip

Business telephone number:
Business fax number:

Registered Agent's NAME and contact information: (must be a Vermont address) Street:
City: VERMONT zip

Registered Agent's telephone number:
Registered Agent's fax number:

Name and contact information of the individual completing this form:
Street:
City: State: zip:

Contact's telephone number:

Form must be complete - an incomplete application will delay your registration.
Notify this office if the telemarketing business ceases - there is no renewal requirement.
Enclose a duplicate filing and a self addressed stamped envelope for return acknowledge.
A company otherwise registered with SOS is not required to file this telemarketing form.