Lauderdale Beach
Security Patrol "Away Form"
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Have you paid your Annual Security Fee for the current year?  ("Yes" or "No")  If "No", then this form will not be processed.
Homeowner Name
Address
Patrol Start Date
MM
/
DD
/
YYYY
Patrol End Date
MM
/
DD
/
YYYY
Emergency Contact Phone #
Email Address
NOTES - Include anyone that may be on premises during patrol period
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