First Name *
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Business Name *
Start Date of Activity *
End Date of Activity *
Description of Activity *
This permit may be revoked for any activities being conducted which would interfere with the Life, Health and Safety, welfare or community, and which would be aesthetically or physically detrimental to the Downtown Merchants "Mall".
I the below signed agree to all terms and conditions of this "Mall Permit" and understand that if any activities violate the above stated that it may be revoked.
100 West 3rd Street
Williamsport, PA 17701
Phone: (570) 327-7500
Monday – Friday, 8:00 am – 5:00 pm