§ 111.15 REGISTRATION APPLICATION; FORM AND DOCUMENTS.
   (A)   Registration form. Applicants for registration must complete and return to the Clerk-Treasurer a registration form, furnished by the Clerk-Treasurer, which shall require the following information:
      (1)   Name, permanent address, and telephone number, and temporary address, if any;
      (2)   Age, date of birth, height, weight, color of hair and eyes;
      (3)   Name, address, and telephone number of person, firm, association, or the corporation that the direct seller represents or is employed by or whose merchandise is being sold;
      (4)   Temporary address and telephone number from which business will be conducted, if any;
      (5)   Nature of business to be conducted and a brief description of the goods offered, and any services offered;
      (6)   Proposed method of delivery of goods, if applicable;
      (7)   Make, model, and license number of any vehicle to be used by applicant in the course of his or her business;
      (8)   Last cities, villages, or towns, not to exceed three, where applicant conducted similar business;
      (9)   Place where the applicant can be contacted for at least seven days after leaving this village, and if goods are sold for future delivery, a place where the applicant can be contacted for at least seven days after the contemplated delivery date of the goods; and
      (10)   Statement as to whether the applicant has been convicted of any crime or ordinance violation related to applicant’s transient merchant business within the past five years, the nature of the offense, and the place of conviction.
   (B)   Documents. Applicants shall present to the Clerk-Treasurer for examination:
      (1)   A driver’s license or some other proof of identity as may be reasonably required;
      (2)   A state certification of examination and approval from the sealer of weights and measures where the applicant’s business requires weighing and measuring devices approved by state authorities; and
      (3)   A state health officer’s certificate where the applicant’s business involves the handling of food or clothing and is required to be certified under state law; that certificate to state that the applicant is apparently free from any contagious or infectious disease, dated not more than 90 days prior to the date that application for license is made.
(`99 Code, § 5.02)