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2. 
4. Business Information
6. Name of Business*
7. Business Telephone #*
9. Business Address*
11. City*
12. State*
13. Zip*
15. Owner's Name*
16. Owner Contact Telephone #*
18. Owner's Address*
20. City*
21. State*
22. Zip*
26. What are your normal operating hours?*
28. What are your cleaning crew hours?*
30. Does your business have a safe?*

    1. Yes
    2. No
32. Does your business have an alarm system?*

    1. Yes
    2. No
34. Is it an audible alarm?

    1. Yes
    2. No
36. What type of alarm do you have? (Check all that apply.)

    1. Burglary
    2. Panic
    3. Smoke
    4. Fire
38. What is the alarm company's name?
39. Alarm Company Telephone #
41. Does your business have video surveillance?*

    1. Yes
    2. No
43. Interior Cameras

    Please provide a count of how many cameras are INSIDE the premises and their direction(s).

45. Exterior Cameras

    Please provide a count of how many cameras are on the EXTERIOR of the premises and their direction(s).

49. Please provide a list of contact telephone numbers for contact person(s) in the event of an alarm. List them in the order that you would like them contacted. For each person list Name/Address/Home Telephone #/Cell #/Date of Birth
51. Contact 1 Same as Owner?*

    1. Yes
    2. No
53. Contact 1 - First Name
54. Last Name
56. Address
58. City
59. State
60. Zip
62. Home Telephone #
63. Cell Phone #
64. DOB
66. Contact 2 - First Name
67. Last Name
69. Address
71. Home Telephone #
72. Cell Phone #
73. DOB
75. Contact 3 - First Name
76. Last Name
78. Home Telephone #
79. Cell Phone #
80. DOB
84. Owner/Manager Name*
85. Date*
    Date
87. IMPORTANT
    All information provided and statements made by me are complete, correct, and true to the best of my knowledge. (If submitting this form electronically, I understand that typing my name in the signature box replaces a hand written signature.)
89. The information contained on this form will not be made public. It will remain on file at the Mount Pleasant Police Department.
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91. 1. Receive an email copy of this form.
92. Email address

    This field is not part of the form submission.

93. Submit

* indicates a required field