Alarm Bylaw Registration

Address of Protected Premise
Address*
Street Address Apt Number City Province Postal Code
Premise Name (if applicable)
Type of Alarm Registered*
- Security Alarm
- Fire Alarm
Check off all that apply
Registrant of Alarm System & False Alarm Billing Information
Name*
First Last
Company Name (if applicable)
Mailing Address*
Street Address Apt Number City Province Postal Code
Telephone – Registrant
- Residential
- Business
- Cell Phone
Check all that apply
Phone Residential
Phone Business
Phone Cell
Owner of Alarm Site
Same Registrant Information Above:
- Yes
Owner of Alarm Site
First Last
Address of Alarm Site Owner
Street Address Apt Number City Province Postal Code
Telephone – Owner
- Residential
- Business
- Cell Phone
Check all that apply
Phone Residential
Phone Business
Phone Cell

Alarm Service Provider
Company Name*
Mailing Address*
Street Address Apt/Bay No. City State / Province / Region ZIP / Postal Code Country
Alarm Service Provider Phone*
Alternate Contact Authorized to Enter Alarm Site
Name*
First Last
Address*
Street Address Address Line 2 City Province Postal Code
Alternate Contact Phone Number*
- Residential
- Business
- Cell
Residential
Business
Cell
Additional Information

Address of Protected Premise