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vividadmin
2026-04-16T15:26:18+12:00
Name
(Required)
First
Last
Phone Number
Email
(Required)
Address
(Required)
Street Address
City
Postal Code
Number of people who live at your address?
Please enter a number from
1
to
99
.
Would you like to subscribe to receive our fortnightly email with Police Intel Stats?
Yes please add me to receive your fortnightly Email with Police Intel Stats
No thank you
Do you or any members of your household have any medical / physical needs, Optional - (For emergency response contingency only) Please provide details
Are you or someone in your household over 65? (For emergency response contingency only)
(Required)
Yes
No
Please provide the name of the person over 65 (For emergency response contingency only)
Do you give consent to be on your street's phone tree list? (If there is an existing active group for your street)
(Required)
Yes
No
Choose Your FREE Welcome Pack
(Required)
A4 complete hard copy pack posted out - as per picture
Standard envelope with just what's in the above picture - and you get the other prevention information as live links emailed to you
Choice number 3 does not have an image
I do not require a welcome pack, thank you
Please note - pictures are indicative only. There may be slight variations in the pack you receive, due to the availability of resources and updating at the time of making them.
Have (CCTV) home cameras?
(Required)
Yes please, I would like them posted out to me
No thank you
We can supply 3 free “Warning” stickers Please tick YES if you would like 3 or NO if you do not want any.
Would you like information about training to be a Neighbourhood Support Waitākere representative for your area or group?
(Required)
Yes please, email me the Group Contact information
No thank you
I would like to proceed with the Street Group Contact Online training please
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