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Crime Prevention Program Banquet and Annual Recognition Awards
Registration for Our Thirty-Fifth Year Celebration
Saturday October 20, 2018 at City of Richmond Recreation Center (3230 Macdonald Ave.) 6:00PM-8:30PM
Nominations will be accepted NO LATER THAN October 5, 2018
Registration Contact Information
E-Mail:*
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Phone:*
How many people are you bringing with you?*
Would you like to nominate anyone?*
Category of Nomination
I am nominating him/her because:
Additional room to write
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First Name of Nominee
Last Name of Nominee
Phone Number of Nominee
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