Indianapolis Metropolitan Police Department Northwest District ...

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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.