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Request A Program Please fill out this form if you would like to request the Lehigh University Police to do a program for your residence or group. You must submit your request three (3) weeks prior to the date you would like the program presented. Name: (required) Phone #: (required) Address: (required) E-mail : (required) Title: (required) * Title (house president, gryphon, etc.) Date and time you would like program presented: (required) Date: Time: Number of people expected at program: (required) Please tell us what type of program you would like presented, i.e., alcohol related, safety related, etc.: (required)

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