Business Information:
Penns Grove Police Department is asking that any/all ,new and old, businesses in the Borough of Penns Grove please update key-holder information as soon as possible due to no longer having on site dispatching services and now having the Salem County 911 Center dispatching for the Borough, this information is vital for everyones safety. Please complete this form and copy this form into an email and email it to Police Clerk Thompson at tthompson@pennsgrove-nj.org so we can add/update our Business File. This is important is vital for emergency situations, especially during the middle of the night when we have a need to contact a key-holder because of a problem at your business.
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New Business or Change of Information?:

If changing information, only list the Business Name and any changed you would like to make to the information already on file at the police department.

Confidential Confidential Confidential

Name of Business:
Address of Business:
Telephone # at Business:

Alarm Information
Name of Alarm Company:
Address of Alarm Company:
Telephone # of Alarm Company:
Type of Alarm (Motion, Heat Detection or Serveillance Cameras)?:

Owner/Manager’s Information
Name:
Home Address:
Home Phone #:
Cell#:

Key-Holder(s) Information
Name:
Address:
Home Phone #:
Cell#:

Name:
Address:
Home Phone #:
Cell#:

Name:
Address:
Home Phone #:
Cell#:

Miscellaneous Information:

For additional Key-holder submit second for with Business Name and key-hold information ONLY.

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