TOWN OF DOUGLAS
EMERGENCY CONTACT INFORMATION
Date
douglas-3/19/19
Business Name: Manager:
Address:
Phone Number
Email
Mailing Address
Is the premises alarmed?
NoYes
Days Of Operation (select all that apply)
Tue Wed Thu Fri Sat SunMon
Contact 1:
Phone # 1 Phone # 2
Contact 2:
Phone # 1 Phone # 2
Hours of Operation:
Print Form