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City of Corpus Christi


CRIME PREVENTION PRESENTATION FORM


If you would like the Corpus Christi Police Department to give a presentation, please complete the form below and press Submit.

I am interested in the following program:



Name:
Home Phone Number. :
Home Address / Zip:
Work Phone Number:
E-mail:
Name of Group/Organization Requesting Presentation:
Number of Attendees Expected:
Date of Presentation (1st Choice):
Date of Presentation (2nd Choice):
Location Where Presentation will be given:
Time of Presentation:




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