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Step 1:
Please print these two forms. You must sign the Terms of Service and fill out the New Customer Form to the best of your ability.
Terms of Service
(download/print)
New Customer Form
(download/print)
Step 2:
Fax the completed forms to 619-442-7171.
Step 3:
When we receive the forms, we’ll call you and ask a little more information about your alarm system.You can facilitate this process by providing that information now
using our online form below
or by calling Customer Service, (M-F 8 a.m. – 5 p.m. Pacific Time): 800.560.1003
Items with a "
" are required
.
First Name:
Last Name:
Address:
City:
State:
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, DC
West Virginia
Wisconsin
Wyoming
Zip:
Phone:
Alternate Phone:
Email:
Best time for us to reach you:
(morning, afternoon, evening)
Is your system currently monitored:
Yes
No
Current Monitoring Service Provider:
--Select--
Brinks
ADT
Protection One
SecurityLink by Ameritech
Other (fill out in comment box)
(Who do you pay your monthly monitoring bill to?)
Are you under contract to this or
any other alarm service provider?
Yes
No
Equipment Type:
--Select--
Visonic
Linear
SkyLink
Caddx
Ademco
Radionics
DSC
ITI
Other (fill out in comment box)
Equipment Make/Model:
--Select--
PowerMax
Ademco LYNXR
Simon
Vista
Power 864
Other (fill out comment box)
(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:
--Select--
Less than 1 year
Between 1-5 years
Over 5 years
Is your system connected to a phone line:
Yes
No
How did you hear about us?
--Select--
Google
Yahoo
MSN
Lycos
AltaVista
Catalogue
Postcard
Other
Referral
Self
Comments:
Have you read and do you
understand our
Terms of Service?
Select
Yes
No
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