Mesquite Police-Business Surveillance Partnership Registration

Mesquite Police-Business
Surveillance Partnership
Registration Form

In accordance with the Convenience Store and Late Hours Business Regulations ordinance
all late hour businesses and convenience stores are required to complete this registration form.

The original due date of registration and compliance has been extended due to Covid 19. The new due date for registration is August 31, 2020 and compliance is December 31, 2020.

*** Please click here to download TRAINING MATERIAL PDF ***

*** Please click here to download Copy of Convenience Store and Late Hours Business ordinance PDF ***

BUSINESS

Fields marked with * are mandatory.

Business Name*

Type of Business*

Address*

Business Phone Number*

CONTACT INFORMATION

Contact Name*(24 hour/7 day a week) Contact Name?

Contact Phone Number* Contact Phone Number?

Contact E-mail*

Alternate Contact Name* Alternate Contact Name?

Alternate Contact Phone* Alternate Contact Phone?

DVR INFORMATION

DVR Make and Model*

DVR Passcode* DVR Passcode?

DVR Location* DVR Location ?

Business Open After 10PM?*
YES NO

To avoid spam please answer this question:

For additional information about this Ordinance please refer to this Link : City Ordinance