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   Business Form

4. Disclaimer

   This form is used to update our files for existing, as well as new businesses in the city. Through your cooperation in completing this form, the Avon Police Department can better serve you and your business establishment.

6. Date*
   Date
8. Business Name *
10. Address1*
12. Address 2
14. City*
15. State*
16. Zip*
18. Phone Number *
19. Fax Number
20. Days/ Hours of Operation*
22. Website
23. Company Email

27. Owner Information:

29. Owner Name *
31. Owner Primary Phone *
32. Owner Email

36. Property Owner Information:

37. Same as Owner

    1. Same as Owner
39. Property Owner Name
40. Property Owner Phone Number
44. Do you have an alarm?*

    1. Yes
    2. No
45. Is the alarm audible?

    1. Yes
    2. No
47. Alarm Company Name
49. Alarm Company Contact Information

53. Emergency Contact/ After Hours Notification:

55. Primary Contact: 

57. Primary Contact Name*
59. Primary Phone*
60. Primary Cell Number
61. Primary Email

63. Secondary Contact:

65. Secondary Contact Name
67. Secondary Primary Contact Phone
68. Secondary Contact Phone
70. 
    

    Thank you for completing this form and making our community a better place. 

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71. 1. Receive an email copy of this form.
72. Email address

    This field is not part of the form submission.

73. Submit