Community Request for Services
City of Bethlehem Police Department
Please complete this form to request an event.
Type of Request or Event: Tour Lecture Security Survey/Risk Assessment Community Event Other
Other:
Name:
Address:
Organization or Group Name:
Phone Numbers of Contact Person:
(Home)
(Work)
(Fax)
(Mobile)
For what date and time are you requesting an event?
Date: Time:
How many people will be attending?
Adults: Children:
Comments: