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Alarm Registration Form

  1. police

  2. Have you registered before?

  3. 1. Alarm User's Information (Alarm Location)

  4. 2. Mailing Address (If Different from Address Above)

  5. N/A if no special conditions apply

  6. 4. Alarm Company Information

  7. Alarm Monitoring Service (If Different from Above)

  8. Registration of an alarm system is not intended to, nor will it, create a contract, duty or obligation, either expressed or implied, of response. Any and all liability and consequential damage resulting from the failure to respond to a notification is hereby disclaimed and governmental immunity as provided by law is retained. By registering an alarm system the alarm user acknowledges that police response may be based on factors such as availability of police units, priority calls, weather conditions, traffic conditions, emergency situations, and staffing. ALL INFORMATION ON THIS FORM IS CONFIDENTIAL

  9. Signature

    By submitting this form, you are agreeing to all terms and verifying that all information above is accurate.

  10. Leave This Blank:

  11. This field is not part of the form submission.