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Tenant/Current Occupant Registration

Tenant Registration

Lease Start Date*
Date Format: MM slash DD slash YYYY
Lease End Date
Date Format: MM slash DD slash YYYY

If owner, leave lease end date blank.
Tenant/Current Occupant Names*
Please enter your name and the names of the people living with you.
Address*
Street Address Apt/Unit City State ZIP Code
1st Verification Phone*
Upon receipt of an alarm this is the 1st number the central station operator will call to verify the alarm.
2nd Verification Phone*
Upon receipt of an alarm this is the 2nd number the central station operator will call to verify the alarm.
Emergency Contact List (min. of one person is required)
Emergency Contact Name 1*
First Last
Emergency Contact Phone 1*
Emergency Contact Name 2
First Last
Emergency Contact Phone 2
Emergency Contact Name 3
First Last
Emergency Contact Phone 3
Emergency Contact Name 4
First Last
Emergency Contact Phone 4
Code Word*
Upon receipt of the alarm signal the central station operator will call the verification number, if it is a false alarm and “you” do not need the operator to dispatch the police “you” would give the operator the Code Word. If the operator does not get the proper code word, the police will be dispatched.
View and Print Terms and Conditions
Email*
Enter Email Confirm Email
I have read the terms and conditions*
- Yes, I read the terms.
Sign your name to accept these terms and conditions. If you do NOT accept this agreement, you cannot continue with registration.*