Monitoring Account Information

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?*

Select or enter value

Contract length*

Month To Month

12 Months

24 Months

No Contract

Other

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

Additional User Name ( First and Last)*

Additional User Email Address*

Additional User Phone Number*

Please select all that apply to the additonal user*

Lives in Home

Friend

Family Member

Spouse or Partner

Child

Cleaning Crew/Dog walker/Caretaker

Other

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

Send me a copy of my responses

Privacy Notice|Report Abuse