Monitoring Account Information

Customer Name

Main Phone Number

Secondary Phone Number

Account Type

Security System (Any account that includes a control Panel)

Standalone (Access Control, Video or Home Automation)

Property Type

Single Family House

Townhouse

Apartment/Condo

Business

Install Type

Professional Install

Self Install

Customer Account Email

System Description

Most common: LAST NAME'S SYSTEM, COMPANY NAME, LAST NAME'S FAMILY SYSTEM

System Address

Cross Street

Closest Cross Street to Home

Who is your sales rep?

Preferred Billing Method

Monthly

Quarterly

Semi- Annually

Annually

Monitoring Type

Self Monitored (Alarm.com Only)

Alarm.com & Central Station (Self + 3rd Party)

Desired Log in Name

Username for Alarm.com account.

In the case of an emergency, or when the system is triggered accidentally, the central station will require a pass code to verify your identity.

Code Word # 1

Code Word # 2

Owner Occupied?

Living in home = Yes Vacation home/Second home/Not full time residence= No

Yes

4 Digit Pin Number for Panel

Will be used when arming or disarming the system. *Must be numerical only*

Additional Users

Would you like to add any additional users to the system?

Yes

Is there anything AROCK should know regarding your wants or needs for this system?

Send me a copy of my responses