House/Business/Patrol Watch Application

House/Business/Patrol Watch Application
What type of services are you applying for? *
Your Contact Information
Client name

First Name Last Name
Permanent mailing address *renewal reminders will be mailed to this address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone number

Area Code Phone Number
Secondary contact phone number

Area Code Phone Number
Email address
example@example.com
Emergency/Alternate Contact
Name of person(s) who have authority to act on your behalf or access to your property

First Name Last Name
Phone number

Area Code Phone Number
Email
example@example.com
Information About Your Service Address
Start "Date of Service" *Service has a maximum of 1 year

Month Day Year
Date
End "Date of Service"

Month Day Year
Date
Service address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
What is the name of your propane or gas company?
Gas company contact phone number

Area Code Phone Number
Name of your water company or local well
Special instructions for patrolling Officers
Request for signage

I would like a window sticker for my house/business I would like a metal sign for my yard
Upload a photo of the front of your home (optional)

Browse Files

Cancel of
Authorization

Participant(s) of this program shall hold the Sheriff’s Auxiliary of Navajo County (SAV) harmless from all liabilities, losses, claims, demands, or obligations and causes of action of every kind, type, nature or description whatsoever, whether known or unknown. The SAV’s shall conduct themselves at all times in accordance with the highest standards of professional conduct and duties. Digital submission is valid for signature. I agree by signature below:
Signature

Clear
The mission of the Sheriff's Auxiliary Volunteers of Navajo County (SAV’s.), Inc. is to provide assistance to and, under the direction of the Navajo County Sheriff's Office. They assist the NCSO in accomplishing various public safety and crime prevention tasks. The Auxiliary is also a 501(c)(3) organization that raises funds to support those programs provided to the public absolutely free. We operating soley on the generous donations you provide to us. Donations are extremely appreciated. A receipt with our Tax ID number for your tax records will be emailed. Note: donations are not a requirement for service.
Donation Payment

Donate by check
Donations by check can be paid and mailed to:

Sheriff's Auxiliary Volunteers of Navajo County, Inc.

P.O. Box 2590

Snowflake, AZ 85937

PLEASE REFERENCE YOUR SERVICE ADDRESS IN THE MEMO PORTION OF YOUR CHECK
Donate by Credit Card

I would like to donate the amount below to the Sheriff's Auxiliary Volunteers of Navajo County. The SAV's use a secured Square https: site to process donations. *

USD Donation Amount

Credit Card Donation
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Should be Empty:

House/Business/Patrol Watch Application

Donation Payment