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Crime Prevention Program Banquet and Annual Recognition Awards
Registration for Our Thirty-Fifth Year Celebration
Saturday October 19, 2019 at City of Richmond Recreation Center (3230 Macdonald Ave.) 6:00PM-8:30PM
Nominations will be accepted NO LATER THAN October 2, 2019
Registration Contact Information
*E-Mail:
Valid e-mail is required
*First Name:
*Last Name:
*Address Line 1:
Address Line 2:
*City:
*State:
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*Zip Code:
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*How many people are you bringing with you?
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Just me
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*Would you like to nominate anyone?
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No, thank you.
Category of Nomination
Choose a Category of Nomination
Volunteer from YOUR Neighborhood
Officer of the Year (Individual Officers only, please)
Neighborhood Watch Group of the Year
Business of the Year (If participated with your Watch Group)
I am nominating him/her because:
Additional room to write
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Additional room to write
Additional room to write
Additional room to write
Additional room to write
Additional room to write
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First Name of Nominee
Last Name of Nominee
Phone Number of Nominee
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