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First Name: *
Last Name: *
Address: *
 
City: *
State:
Zip: *
Phone: *
Alternate Phone:
E-mail: *
Best time for us to reach you:
(morning, afternoon evening)
   
Is your system currently monitored?
Yes No *
Current Monitoring Service Provider:
(Who do you pay your monthly monitoring bill to?)
Are you under contract with this
or any other alarm service provider?
Yes No *
Equipment Type:  *
Equipment Make/Model
(HINT: Look on your alarm panel where your main system is stored in your home or business.)
Do you own this equipment
Yes No *
Is the system functioning now?
Yes No
When was the system installed?
Is your system connected to a phone line?
Yes No
How did you hear about us?
Comments:
Have you read and understand
our Terms of Service?
*
 

Privacy Policy

We will never sell or license your information to a third party.

The Information We Ask For
Alarm Relay is committed to keeping all information you give us confidential. The information requested on this site is for the purpose of qualifying you for the alarm monitoring services we offer.

The Information We Don’t Ask For
You will not be asked to give us any credit card information over the Internet. Information such as passwords, codes, emergency contact information and other information relating to the operation of monitoring services will be taken over the phone by our representative and entered into a secure customer information system not accessible through this site.

What Else We Do With Your Information
If you do not qualify for our services today, we will use your information to keep in touch over the years and let you know of new products and services we offer. If you do not want to be contacted by us in the future, please “opt out” by sending email to the following address: marketing@alarmrelay.com. Include your first name, last name, and zip code and you will be deleted from our database.

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