Indianapolis Metropolitan Police Department Northwest District
Tuesday, August 4th, 2015 National Night Out Against Crime Group/Event Registration
*Name: *Address/Location of NNO Event: *Type of event (Cookout/Block Party etc.) *Contact Person:
* Event Time Start:
*Phone #:
End:
* Email:
*Expected Number of Attendees: Please complete this form and return to: Attn: Diane Moorman, 3821 Industrial Blvd., Indianapolis, IN 46254, 327-6572 or email:
[email protected] Registration Deadline July 28, 2014 For more information on the Nation Night Out Event please visit: www.natw.org *Please complete all information.