Member Contact Information

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It is our intention to provide the best possible service to our CICP members. We strive to provide you with up-to-the-minute information and will contact you right away should we receive a report of criminal activity, damage, or suspicious activity at your job site or office location. To do this, we are in need of current contacts and emergency contacts for your company.

There are times when we may need to contact you after hours. Thieves often work at night or on the weekends. It is very important that we have three or four after hour contacts as people take vacations and are not always available on weekends or afterhours.

Please complete and submit the following information.

Company Name:
Main Contact Name:
Phone Number:
Pager Number:
Mobile Number:
Fax Number:
E-mail Address:
Daytime/Weekday Alternates
Name 1
Phone 1
Name 2
Phone 2
After Hours and Weekend Contacts We may need to contact you if an incident occurs after hours or on the weekend.
Name 1
Phone 1
Name 2
Phone 2
Name 3
Phone 3
Name 4
Phone 4
Name 5
Phone 5
Check here if you are posting the CICP Reward Signs ourside of Oregon/Washington.
Person Completing This Form
Phone Number
E-mail