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2. Complete the following information and officers from the Beaufort Police Department will drive by your
   property while you are on vacation, or check your business if you need an extra patrol.
4. 
   
6. Contact Information
8. Name:*
10. Address:*
12. City:
14. State:
16. Zip:
18. Phone Number:*
20. Email Address:
22. Vacation/ Extra Patrol Information
24. Date Leaving:*
26. Date Returning:*
28. Do you have any lights on?*

    1. Yes
    2. No
30. Location of Lights:
32. Any Vehicles in Driveway?*

    1. Yes
    2. No
34. Vehicle Descriptions:
36. Emergency Contact Information
38. Name:*
40. Address:*
42. Phone Number:*
44. Does Emergency
    Contact Have Key?*
46. Miscellaneous Information
Leave This Blank:


48. Submit

* indicates a required field