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2. eBiz Registration Form
   eBiz: Updating businesses on events that may affect them by the Casselberry Police Department.
4. The purpose of eBiz is to provide a communication network linking businesses in the City of Casselberry with the Casselberry Police Department in the hopes of reducing criminal activity in the business community.
6. On an as needed basis, enrolled businesses will receive information via e-mail, regarding crime in their area. If there is an immediate threat or danger businesses will receive an eBiz Alert at the earliest possible time. This would apply to natural disasters as well as criminal events that may affect your business.
8. An email address is required to participate.
10. Email Notice
    Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to the City of Casselberry. Instead, contact the City of Casselberry by phone or in writing.
12. Submit
    Sign up for the eBiz program by completing this form and submitting it. Please complete the information sections below and submit the request online. Alternatively, the below application can be printed and brought or mailed to the Casselberry Police Department located at 4195 South U.S. Highway 17/92, Casselberry, Florida 32707.
14. Questions
    For questions regarding this program, please contact the Crime Prevention Officer at (407) 262-7616 Ext. 1061 or by email at ebizalert@casselberry.org.
18. Business Name*
20. Owner or Manager’s Name*
22. Business Address*
24. Suite or Apartment Number
26. City
27. State*
28. Zip*
30. Email Address
    Under Florida law, e-mail addresses are public records.
31. Business Phone Number*
33. Type of Business*
37. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
39. Electronic Signature*

    1. I agree.
41. Signature*
42. Date*
    Date
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44. Submit Submit and Print

* indicates a required field