Newbury Police Department
25 High Road, Newbury Massachusetts 01951
www.newburypolicedept.com
Detail Requisition Form
Name of contact person:
*
Your E-mail Address:
*
Organization (indicate N/A if not applicable):
*
Contact phone:
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Alternate contact phone:
*
Date of event:
*
Start time:
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End time:
*
Address of event:
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Type of event:
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Party
Auction
Wedding
Security related
Construction
Other (expain in Other Information field)
Billing address (complete):
*
Estimated number in attendance:
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Number of officers needed:
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Other Helpful information (detailed description of event, questions or concerns, etc)
Rain or shine event:
*
Yes
No
Verification Code
:
Enter Verification Code
:
*
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Required
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