Vendor Registration From

Vendor Registration From
Enter Company/Organization Name
Company/Organization Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Company/Organization Point of Contact

First NameLast Name
Phone Number*
Point of Contact E-mail
example@example.com
Company/Organization Website
Can your logo be displayed on promotional materials?

YesNo
You will be invoiced $500.00

For information, please contact:

Juliette M. Parker

CONNPAC Treasurer

City of Groton Police Department

295 Meridian Street

Groton, CT 06340

(860) 446-4154
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