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A Village of Towering Character



VILLAGE HALL
740 Hillgrove Avenue
Western Springs, IL 60558
708-246-1800 Main
708-246-0284 Fax
911 Emergency
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Vacation Watch Form

* asterisk denotes required fields
* Name:
* Street Address:
Address (cont.):
* Home Phone:
* E-mail:

* When will you be leaving?
/ /
* When will you be returning?
/ /

Will there be cars left home? Yes No
How many cars?
Where will the cars be parked?

Will there be lights on? Yes No
What kind of lights?


Where can you be reached in an emergency?
* Emergency Phone:


Who will have keys?
Name:
Street Address:
Address (cont.):
City:
State:
Zip/Postal Code:
Phone:


Anyone else?
Name:
Street Address:
Address (cont.):
City:
State:
Zip/Postal Code:
Phone:

* Choose one of the following options:

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