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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. 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.

  6. Leave This Blank:

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