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2. Enfield Police Department Security Camera Registration Form
4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Home Phone Number
16. Mobile Phone Number*
18. Best Time to Reach You?

    1. Daytime
    2. Afternoon
    3. Evenings
20. Brand of Camera System*
21. Number of Cameras*
23. Streets Covered by Cameras
24. Streets Covered by Cameras
26. Streets Covered by Cameras
27. Streets Covered by Cameras
29. Number of Days video is retained?
30. Method of Export

    1. USB
    2. CD/DVD
    3. Other
31. Please explain other
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field