Albuquerque - CONNECT^™Downtown Registration Form
Downtown Safety involves a partnership between the Albuquerque Police Department and
Downtown Business Owners/Managers to address
issues which impact public safety in Albuquerque's Downtown District.

You must be an active member and a regular participant in the City of Albuquerque's bi-weekly Downtown Initiatives meetings programming.

APPLICANT INFORMATION
First Name:*

Last Name:*

Position/Title (if applicable)

Company / Organization Name:

Address:*

Address 2:

City:*

State: (ie: NM)*
Zip code:*

CONTACT INFORMATION
Phone: (include area code)*

Mobile Phone: (include area code, no dashes)

Mobile Provider:

Mobile Email Address

Fax: (include area code)

E-mail:*

Password:* (Downtown Safety site access)

ADDITIONAL COMMENTS / REFERRED BY

Downtown Safety requires an alliance of Representatives working in partnership with Law Enforcement, to reduce and
eliminate the criminal incidents that impact the financial community in the area.

In an effort to improve communication and assist Law Enforcement in identifying crime,
a secure website will be provided which approved members to post and review information of a
confidential nature.

The information contained on the web site is for Law Enforcement use only. Any unauthorized release,
copying, distribution or posting for any Non-Law Enforcement Use of any of the information contained
herein will result in the termination of access to this site and may expose an individual or corporation
to legal liability.

I understand the above stated guidelines and will abide by them. I understand that information on
the website can be removed at the webmasters discretion at any time. I also understand and agree
that failure on my behalf to abide by the information above will be grounds for dismissal from further
interaction with Downtown Safety Website.
I agree

___________________________________________________________
Signature

After you click "Submit Registration", a window will appear enabling you to print your registration.
Please sign and return this form at the next Downtown Initiatives meeting.
Questions? email downtown@safecityabq.org