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2. Are you planning a National Night Out event?*
4. Would you like to Invite Bothell Police?*

   Bothell Police officers enjoy meeting community members and would appreciate a chance to stop by and say hello.  Would your event welcome a friendly visit by a Bothell Police officer?

   1. Yes
   2. No
6. Date & Time of Event*
   Date & Time of Event

   Date & Time of Event
8. Location of event (address)*
10. City
11. Zip Code
13. Neighborhood Contact (Name)
15. Phone Number
16. Email Address
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

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