Village Video Cooperative Registration

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Please correct the field(s) marked in red below:

Please submit one form per address.
1
Business Name and Owner (if applicable)
2
Business Phone Number (if applicable)
3
Resident Name
4
Resident Phone Number
5
Property Address
6
Email Address
7
Describe the location of each camera capturing public areas, streets, walks, lots, etc.
8
Encoding Format
Encoding Format
9
Is your video recorded?
Is your video recorded?
10
Minimum retention time
11
Emergency Contact Name
12
Emergency Contact Title
13
Emergency Contact Phone Number
14
Emergency Contact Email Address
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