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2. Crime Prevention Unit Speakers Bureau
   The Speakers Bureau of the Crime Prevention Unit offers lectures to civic groups, schools, business groups, community groups, neighborhood watch groups or any group with in interest in preventing crime.
   
   Please complete the request form below, and a Crime Prevention Officer will contact you.
4. Name*
5. Best Time to Contact You*
7. Phone Number*
8. Email Address
10. Name of Group or Organization*
11. Contact Person*
13. Crime Prevention Topic of Interest*
15. Estimated Number of Group Members to Participate*
16. Age Range of Participants*
18. Date & Time You Prefer the Lecture*
    Date & Time You Prefer the Lecture

    Date & Time You Prefer the Lecture
20. Location You Prefer the Lecture*
22. Our lecture must be:*

    1. Conducted at the location listed.
    2. On the date and time listed.
24. Comments
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field