Security Watch Program Sign-Up Sheet

PLEASE PRING THIS OUT, SEND IT TO JFULTZ0016@GMAIL.COM IN PDF FORM!

Thank you for choosing to protect your property with our Security Watch Program. Please fill out the following information to get started:

Personal Information

• Full Name: ________________________________________________

• Address: _________________________________________________ _________________________________________________

• Phone Number: ____________________________________________

• Email Address: ____________________________________________

Property Details

• Type of Property (e.g., Residential, Commercial): ____________________

• Number of Cameras to Monitor: _______________________________

• Preferred Monitoring Hours & Days (e.g., 24/7, Night Only): __________________________________

  _____________________________________________

  _____________________________________________ ______________________________________________

Emergency Contact Information

• Name: _________________________________________________

• Relationship: ____________________________________________

• Phone Number: ___________________________________________

Subscription Plan (Please select one of the following options): [ ] Basic Plan (Standard Monitoring) - $XX/month [ ] Advanced Plan (Enhanced Features) - $XX/month [ ] Premium Plan (24/7 Comprehensive Coverage) - $XX/month

Preferred Notification Method (Please check all that apply): [ ] Text Message [ ] Email [ ] Phone Call

Special Instructions or Notes

Terms and Conditions By signing below, I agree to the terms and conditions of the Security Watch Program. I understand that services will commence upon successful setup and payment of the subscription fee.

Signature: ___________________________________ Date: _______________

For Office Use Only

• Customer ID: _______________________________________________

• Start Date: ________________________________________________

• Assigned Representative: _____________________________________