Community Policing / Presentation Request

2. Guidelines
   All requests must be made at least 14 days in advance. The event must be free of charge, and not political in nature. All requests are handled on a first-come, first-served basis. In the event that emergency arises during the time your event is scheduled, we may be forced to cancel our participation without notice.
4. Organization Name
6. Description of Organization
8. Address1
10. Address2
12. City
13. State
14. Zip
16. First Name of Requestor
17. Last Name of Requestor
19. Requestor Phone Number
20. Requestor Email
22. Event Details
24. Date and Time of Event
    Date and Time of Event

    Date and Time of Event
25. Expected Number of Attendees
26. Topic
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field