• SCHEDULE A - Agreement for Remote Station Services

SCHEDULE A - Agreement for Remote Station Services

Customer Information

Account Number
Date
Name
Address
City
State, Zip
Township
County
E-Mail Address
Premise Telephone Number(s)
this number will be called first when verifying an alarm at the premise
Password
maximum of 10 letters/spaces
Arm/Disarm Code

Emergency Response

 
Police Dept. Tele#
Police Dept. Township
Fire Dept. Tele#
Fire Dept. Township
(The fire dept. will be dispatched immediately on any alarm occurring in the city of Philadelphia, and on all commercial accounts, and nursing homes)

Emergency Contacts
Please designate home, pager, cell, work

Name
Main Number
Alternate Number

 

* If you would like to print this form and fax to 610-828-7132, Click Here.
 


Militia Hill Security
PO Box 606
Plymouth Meeting, PA 19462
Tel: 610-825-0892 • Fax: 610-828-7132
Email: inquire@militiahillsecurity.com