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Business Contact Information Form

This form should be completed by those business that are physically located in the City of Northport, or those that are located in the Northport Police Jurisdiction and purchase City of Northport business license. This information is used by Northport Police and Northport Fire Departments to contact a callout person should a fire emergency or police related matter occur after the businesses regular hours.

 

This form is being submitted for:
Business Information:
Business Name:
Street Address:
Suite Number, Space or Unit Number:
Phone Number
Email and/or web address:
Physical Location of Business (Located next to; Inside shopping center, etc.)

 

Emergency Contact Information:
Contact 1:
Name:
Phone:
Title:
Other:
Contact 2:
Name:
Phone:
Title:
Other
Contact 3:
Name:
Phone:
Title:
Other
Additional Information

 

  

Northport Police Department, 3721 26th Avenue, Northport, AL 35473,  Phone: (205) 339-6600, Fax: (205) 333-3007

Contact: Lt. Keith Carpenter, Communications Supervisor, Phone: (205) 469-1336