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Online service requests and answers

	Service request type:	NNO: National Night Out Registration
	Description:	Register your neighborhood gathering for National Night Out on August 3, 2010.
	Your e-mail address:

	Address 1:
	Address 2:
	City:
	State:
	ZIP code:

When you register your gathering here, you qualify to receive invitations and other support, and you'll be able to request a visit from police officers, firefighters, paramedics, McGruff, Councilmembers or the Mayor. Please register with us even if you've signed up on the national Web site -- information from that site is not shared with us. Registration deadline is July 23. For more information, visit our NNO web page. Click the "Submit" button after entering your data! The orange asterisks ( ) identify required fields.*
*	Group description:		(please choose)
Primary Contact
*	First name:
*	Last name:
*	Street Address:
*	Zip code:
*	Phone number:
	E-mail address:
Secondary contact
	First name:
	Last name:
	Street address:
	Phone number:
	ZIP code:
	E-mail address:
Event information
*	Exact location of party/event:
*	Beginning time:
*	Ending time:
	Projected attendance:
	Number of blocks involved:
	Event description:
Would you like us to provide...
*	Invitations?:
		(Enter "0" above for no invitations, or enter the quantity you want)
*	Traffic cones?:	Yes No
Other information
	Is your neigborhood an organized Crime Watch group?:	Yes No
*	Have you participated before?:	Yes No
If you'd like visitors, please indicate your order of preference.
	... First choice:
	... Second choice:
	... Third choice: