This form is for businesses that are physically located at a Lake Forest address.

DATE:

Business Name  

NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP:

Mailing Address  

STREET ADDRESS:
CITY:
STATE:
ZIP:

General Information  

PHONE:
FAX:
LOCAL OWNER OR MANAGER:
TYPE OF BUSINESS:
START DATE:
EMAIL:
WEBSITE:

Business Information  

NUMBER OF EMPLOYEES:
HEADQUARTERS LOCATION (IF NOT THE SAME BUSINESS ADDRESS AS ABOVE):
ADDRESS:
PHONE NUMBER:
HOME BASED BUSINESS?	Yes (If yes, stop here)	No
PROPERTY MANAGER CONTACT INFORMATION (If applicable):
NAME:
ADDRESS:
PHONE NUMBER:

Emergency Contact Information  

Please complete the following emergency contact information if your business wishes to participate in the OC Sheriff's Department "Business Watch Program". You will be contacted and provided with additional information and your "Business Watch" decal. NAMES OF INDIVIDUALS TO CALL IN CASE OF EMERGENCY (They must have keys to your business):
1.	NAME:		PHONE NUMBER:
2.	NAME:		PHONE NUMBER:
	We already participate and have a decal. The number is

Please enter the word above in the text box below.