* 1. What is your name? 

* 2. What is your email address? 

* 3. Are you interested in attending future Safety Committee meetings?

* 4. Will you attend a  Safety Committee meeting at 7 p.m. on May 24th? (Location TBD)

* 5. Please indicate which sub-committee(s) you are interested in joining.

* 6. Please indicate which sub-committee(s) you are interested in leading/coordinating.

* 7. Are you interested in obtaining a free Neighborhood Watch sign for the light pole nearest your residence?

* 8. If yes, please provide your address. 

* 9. Are you interested in touring the SLMPD Real Time Crime Center, located downtown, where surveilliance cameras are monitored?

* 10. Do you have any comments you would like to share?

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