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Camera Registration

2. Name or Name of Business

3. Email Address

5. Address

7. City

8. State

9. Zip Code

11. Main Phone Number

12. Mobile Phone Number

14. Fax Number

18. How many cameras do you have?

20. System Description

    Please briefly tell us about your camera system. Specifically what areas it covers and what public ways (streets) or other public areas that it captures.

22. How long is data stored?

24. Is there anything else you would like to share regarding your camera system?

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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field