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Survey/Form Review
National Night Out Registration Form 2014
Organizer's Name

Organizer's Address

Phone Number


Event Address/Location
Number of Adult Participants
Number of Children Participants
Invitation Flyers (if needed)
Event Type (check one)
Special Requests
Please note: Requests cannot be guaranteed, but we will try our best.

Contact Us

PHONE: 408-615-4876



Santa Clara Police Department
601 El Camino Real
Santa Clara, CA 95050

FAX: 408-296-1346

PLEASE NOTE: The officers and City officials that come to your event do not give prepared speeches or talks on issues in your neighborhood. They can answer some general questions for you, but the intent for NNO is for the citizens of Santa Clara and the Police and Fire departments to unite on a more social level.

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