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VIP REGISTRATION

Your Name: ................................................................ Company Name:
Contact Name: .......................................................... VIP Name:
Address:
City, State, Zip:
Phone (cell): Phone (best):
Email:
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TYPE OF REQUEST

Police Officer Request Uniformed.... Non-Uniformed .... Any

Please select all that apply:

Transportation Needed One Way Two Way All Day ................................................................... Dates for Transportation


Security Special Event (On Sight Security) ........................................................................................ Dates of Events


Family Protection .............................................................................................................................. Dates of Protection


Police Escort (Non Vehicle Officer Rides in VIP Vehicle) One Way . Two Way All Day Dates for Escort


Police Escort (Officer Provides Vehicle For VIP) One Way . Two Way All Day ........... Dates for Escort


Police Escort (Full Escort For VIP Vehicles) One Way . Two Way All Day ................ Dates for Escort

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