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2. 
4. Owner Information
6. First Name*
7. Last Name*
9. Address*
11. City*
12. State*
13. Zip Code*
15. Cell Phone Number*
17. Email Address*
19. Camera Information
    Select the areas that your cameras capture.
21. Exterior Camera Views

    1. Front Porch
    2. Front Yard
    3. Rear Porch

    1. Rear Yard
    2. Left Side Yard
    3. Right Side Yard

    1. Driveway
    2. Parking Area

    1. Street and Passing Vehicles
    2. Other
23. Data Retention Period
    -- Select One --Less than 30 days30-60 days60+ daysDoes not record.

    Your camera may have captured valuable information, however, crimes are often reported days or weeks after the incident took place. Please note how long your camera system keeps data.

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

    This field is not part of the form submission.

27. Submit

* indicates a required field