TORRANCE POLICE DEPARTMENT SPEAKER REQUEST FORM Community Affairs will originate the request an forward it to the appropriate Division. Required fields in RED REQUESTOR NAME:   PHONE:   ( ) COMPANY:   FAX:   ( ) ADDRESS:   E-MAIL:   EVENT DATE OF EVENT:     mm/dd/yyyy TIME     FROM:  hh:mm  AM/PM TO:   hh:mm  AM/PM  NAME OF EVENT, IF ANY:   TYPE OF EVENT:   Neighborhood Watch Identity Theft Elder Abuse/Security Internet Safety Traffic Safety Date Rape Workplace Violence Child Safety General Crime Prevention Tips Latest Crime Trends Other If Other:   LOCATION OF EVENT: (name and address)  EXPLAIN TOPIC AND   SCOPE DESIRED:     Please enter the word above in the text box below. (Use all UPPERCASE letters)