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2. As Show Low's Law Enforcement Agency, we are sometimes required to respond to businesses due to various situations that occur after hours. Some examples would be: alarms, open doors, fires, and damage to property.
   
   In order to keep our records up to date, please provide us with the following information.
4. Business Name
5. Business Phone Number
7. Business Address
9. Address2
11. City
12. State
13. Zip
17. The names provided below will be kept on file as emergency contacts who may be asked to respond to the business, around the clock, when an alarm, fire, or other emergency occurs. For this reason, it is important to keep the names and phone numbers up to date so we can quickly locate a responsible key holder and avoid calling someone who no longer works for the business. Please notify us by submitting this form to the Show Low Police Department.
19. Responsible Party #1
21. First Name
22. Last Name
24. Home Phone
26. Responsible Party #2
28. First Name
29. Last Name
31. Home Phone
33. Responsible Party #3
35. First Name
36. Last Name
38. Home Phone
40. Thank you for allowing us to serve you!
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

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