Town of
Weddington NC


Required fields are marked with *
Applicant's Name (or Business Name): *First Name:
*Last Name:
* Applicant's Address:
Applicant's Mailing Address:
City: State: Zip:
Home Phone: *Cell Phone:
*Email Address:
*Drivers License:
*State: (2 letter Abbreviation)
List below 2 people with keys to your building and a working knowledge of your alarm system that could respond within thirty minutes to assist the police in resetting the alarm.

Alternate Name

Alternate Home #

Alternate Work/Cell#

2nd Alternate Name

2nd Alternate Home #

2nd Alternate Work/Cell #