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2. Would you like to help solve crime in your neighborhood?
   If you are interested in participating in sharing any moments from your home security cameras with Brighton Police Department that may help in investigating criminal activity in your neighborhood, please fill out the information below.
4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Is this a business address?*

    1. Yes
    2. No
16. Business Contact
    If yes, please provide business' contact name.
18. Phone*
19. Email*
21. Preferred Contact Method*
    -- Select One --Phone callEmail
22. Total Number of Cameras*
    -- Select One --12345678910
23. Video Retention Period*
    -- Select One --24 hoursOne weekOne monthSix monthsOne yearMore than one year
25. Camera 1
    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)
27. Camera 2
    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)
29. Camera 3
    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)
31. Camera 4
    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)
33. Camera 5
    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)
35. Camera 6
    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)
37. Camera 7
    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)
39. Camera 8
    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)
41. Camera 9
    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)
43. Camera 10
    Please give us as much detail as you can about this camera. (i.e. Inside or outside, is it motion activated, up in tree, Ring.com model)
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field