Community Watch Program
Camera Registration Form
Contact Information:
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Location Information:
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Camera Information:
Camera Manufacturer:
Number of cameras (up to 10 cameras):
*
Please Select
1
2
3
4
5
6
7
8
9
10
Camera #1 - How long is the video footage stored for?
*
Camera #1 - Camera locations (Please describe where on your home the camera is located and what direction it faces)
*
Camera #2 - How long is the video footage stored for?
*
Camera #2 - Camera locations (Please describe where on your home the camera is located and what direction it faces)
*
Camera #3 - How long is the video footage stored for?
*
Camera #3 - Camera locations (Please describe where on your home the camera is located and what direction it faces)
*
Camera #4 - How long is the video footage stored for?
*
Camera #4 - Camera locations (Please describe where on your home the camera is located and what direction it faces)
*
Camera #5 - How long is the video footage stored for?
*
Camera #5 - Camera locations (Please describe where on your home the camera is located and what direction it faces)
*
Camera #6 - How long is the video footage stored for?
*
Camera #6 - Camera locations (Please describe where on your home the camera is located and what direction it faces)
*
Camera #7 - How long is the video footage stored for?
*
Camera #7 - Camera locations (Please describe where on your home the camera is located and what direction it faces)
*
Camera #8 - How long is the video footage stored for?
*
Camera #8 - Camera locations (Please describe where on your home the camera is located and what direction it faces)
*
Camera #9 - How long is the video footage stored for?
*
Camera #9 - Camera locations (Please describe where on your home the camera is located and what direction it faces)
*
Camera #10 - How long is the video footage stored for?
*
Camera #10 - Camera locations (Please describe where on your home the camera is located and what direction it faces)
*
Additional Information (Best time to contact, best way to contact, any other information we may need to know regarding your camera systems):
Submit
Should be Empty: