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2. New Braunfels Police Department personnel are available to make a presentation to assist you and your organization in any of the below listed areas. Please complete the form and a representative will contact you to confirm availability. To insure availability a minimum of 1 months' notice is required.

   If you are submitting a request for more than one topic please complete an additional form for each and every topic.
4. 
   Please provide the following personal contact information.
6. Name*
8. Title
10. Organization*
12. Work Phone*
14. Home Phone
16. Email*
18. 
    Please provide the following group/organization contact information.
20. Name*
22. Title
24. Organization*
26. Work Phone*
28. Email*
30. 
    Enter the date and time this presentation would occur. Minimum 1 months' notice is required.
32. mm/dd/yy*
33. hh:mm*
34. am/pm*
    -- Select One ----ampm
36. To help insure that we are available for this presentation please provide us with up to two (2) alternate dates.
38. Alternate mm/dd/yy*
40. Alternate mm/dd/yy
42. 
    Please tell us about your group/organization.
44. Please provide the address of the location where this presentation would take place.*
46. Please describe in detail the subject that you would like the speaker to address and how it relates to your group/organization.*
48. Please tell us about your organization, its goals, and describe the audience who will hear this presentation.*
50. Please indicate if audio/visual aids (computer, projector, PA system, etc.) will be provided for the instructor and list those that are available.*
Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit

* indicates a required field