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Survey/Form Review
National Night Out Registration Form

 

ORGANIZER INFORMATION


Name
Address
Phone Number
Email

 

EVENT INFORMATION


Event Address / Location
Number of Adult Participants
Number of Children Participants
Event Type (check one) - Cloned
Event Type (check one)
Invitation Flyers (if needed)
Special Requests
Please note: Requests cannot be guaranteed, but we will try our best.


Contact Us

PHONE: 408-615-4876

EMAIL: rthomas@santaclaraca.gov

MAIL:

Santa Clara Police Department
ATTN: CSO THOMAS
601 El Camino Real
Santa Clara, CA 95050

FAX: 408-296-1346

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