SANTA MARIA POLICE DEPARTMENT

PRESENTATION/TOUR REQUEST FORM

Complete this form to request a presentation or tour by a member of the Santa Maria Police Department. Please note, cellular phones and/or audio/visual recording devices are not allowed in the Santa Maria Police Department Building without prior approval.

 

1

Today's date:

 *

Today's date:

2

Nature of request:

 *

Nature of request:

Police Department Tour

Security Survey

Neighborhood Watch

Either a Presentation (Topic) or Other, and describe what you are seeking in the box below If other, type text here.

3

Location of Presentation:

Location of Presentation:

4

Requested Date for Presentation/Tour:

 *

Requested Date for Presentation/Tour:

First Choice, Date and Time

Second Choice, Date and Time

5

Tell us about your group:

 *

Tell us about your group:

Age range of your group (example, 20 to 40, or "seniors", etc)

Total number in group

Special needs

6

Requested by:

 *

Requested by:

Your name

Your title:

Address (include street, City, zip code):

Your phone:

email:

Organization name:

Organization address (include street, City, zip code)

Organization phone:

Organization email:

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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