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AlarmClub South Florida Business or Home Alarm Monitoring Form

Submit the Account Setup and Programming Form Online.


Before we can start your alarm monitoring services, you must purchase a AlarmClub's Alarm Monitoring Service and agree to the alarm monitoring contract upon checkout.

Please fill out the form below to get started and a AlarmClub representitive will contact you shortly to schedule the remote reprogram of your alarm system.

First Name:
Last Name:
Company Name:
Street Address (where your alarm system is located):
City:
State:
Zip Code:
Phone Number (xxx-xxx-xxxx) best to contact you: Ext:
If applicable, Phone Number (xxx-xxx-xxxx) alarm control panel uses: Ext:
Email Address:
How did you hear about us?
What type of property is your system protecting?
What Brand is your alarm system?
What is the Model of your alarm system?
Does another company currently monitor your alarm system?
Current (or most recent) alarm monitoring provider?
Do you own your alarm system equipment?
How does your alarm system communicate?
 
Help us to better protect you by informing us about your current alarm system
If you don’t know accurate descriptions for your alarm zone’s, we strongly recommend that you take a few minutes to self test your alarm system and find out exactly what each zone represents. For more information on how to do this, feel free to contact us at 1(561)833-9949 or customerservice@alarmclub.com
 
Zone # Type of Alarm Zone Zone Description
  1:
  2:
  3:
  4:
  5:
  6:
  7:
  8:
  9:
  10:
  11:
  12:
  13:
  14:
  15:
  16:
  17:
  18:
  19:
  20:
  21:
  22:
  23:
  24:
  25:
If your alarm system has more than 25 zones, please note them in the comments field at the end of the form, or feel free to call 1(561)833-9949 or email customerservice@alarmclub.com for further assistance.
 
Emergency Contact Information
 
Premises Phone Number (xxx-xxx-xxxx):
Emergency Call-List (can include yourself)
We strongly suggest including at least two other people
Name: Phone Number (xxx-xxx-xxxx):
Name: Phone Number (xxx-xxx-xxxx):
Name: Phone Number (xxx-xxx-xxxx):
Name: Phone Number (xxx-xxx-xxxx):
Name: Phone Number (xxx-xxx-xxxx):
 
Police Dept Name: Phone Number (xxx-xxx-xxxx):
 
Alarm Dispatch Permit Required? Permit #:
 
Fire Dept Name: Phone Number (xxx-xxx-xxxx):
False Alarm Password (pets name, city born...etc.):
Arm/Disarm 4-Digit Alarm Code (####):
Have you already purchased a AlarmClub alarm monitoring plan from our shopping cart?
Are you interested in hearing from us about other security solutions?
(Check as many as you like) 		AlarmClub Monitoring Services
Wireless Alarm System
Wireless Video Verification System
Fire Protection
Life Safety
Other
Do you prefer a particular contact time?
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Other Options to Submit the Account Setup and Programming Forms.


Submit Form by Fax:
1. Choose the correct monitoring form.
2. Type and print the completed form.
3. Please fax this information to AlarmClub.

(561)655-4423

Submit Form by Mail:
1. Choose the correct monitoring form.
2. Type and print the completed form.
3. Please mail this information to AlarmClub.

AlarmClub.com
1133 Old Okeechobee Rd.
West Palm Beach, FL 33401

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