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2. First Name
3. Last Name
5. Address1
7. Address2
9. City
10. State
11. Zip
13. Phone number
14. Email
16. Type of Building

    1. Residence
    2. Business
    3. Other (please specify at end of form)
17. Camera Brand/Type
19. Length of time footage is stored on server
20. Stored in cloud or on internal DVR?
21. Number of cameras?
23. What Areas do your cameras cover? (front yard, parking lot, etc)
25. What streets do your cameras cover?
27. Please provide what method you can use to provide footage to our department. (flash drive, DVD, email, etc)
29. Any additional comments/further info you can provide for us?
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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

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