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Online Form - Vincent Home and Business Data Dot Marking Kits

Are you a resident of the City of Vincent?
Have you previously received a ‘Vincent Home and Business Data Dot Property and Valuables Marking Kit’?

Rate your sense of personal safety (this is used to evaluate the effectiveness of the project)

In or around the home I feel…



How beneficial will the ‘Vincent Home and Business Data Dot Property and Valuables Marking Kit’ be to you?


Have you been a victim of crime or are you susceptible to crime?
I have undertaken to use this Safer Vincent Resource of my own free will and I agree to FULLY INDEMNIFY & HOLD HARMLESS the City of Vincent, its servants and agents from all claims, demands, actions and suits for any personal injury, death or property damage resulting from use of this product