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Business Watch - Emergency Contact Information

  1. Owner Information
  2. Emergency Contact Information (If different than above)
  3. Key Holder
  4. Do you have cameras?
  5. I would like Business Watch Stickers?
  6. Electronic Signature Agreement
    By checking the "I agree" box below and by typing my name in this form I certify that I am voluntarily signing up for the Business Watch program an extension of the Neighborhood Crime Watch Program through the Anoka Police Department. I understand my name and address information will be maintained in a secure database as a part of the program, which we have classified as non-public or confidential information. I may ask to be removed from the Business Watch program at any time, and remove my information from the database.
  7. Leave This Blank:

  8. This field is not part of the form submission.