Alarm Registration       You must complete the Alarmed Location and Mailing Information sections before submitting
Required fields include an asterisk and are marked in Red
Alarmed Location Information
Provide the address where the alarm system is installed.

Location Type *  $0.00
Last Name/Business *
First Name *
Suite (if applicable)  Numbers and/or letters only (e.g. 'A2' or '5')
Street Number *  Numbers only (0 - 9)
Street Name *   
City *   State *     Zip *
Main Phone *
Other Phone
Email address *   
   We may use your email address to communicate with you in the future.
Mailing/Billing Information
Provide the person and address for us to mail correspondence and statements.
   
Last Name *
First Name   
Street Number *
Street Name *
Suite
City * State *   Zip *
Home Phone *
Work Phone
Cell Phone
Other Phone
Email Address
Contact/Keyholder Information
Provide the contact(s) for law enforcement.  
Contact 1:
Last Name *
First Name
Street Number *
Street Name *
Suite
City *  State *   Zip * 
Home Phone *
Work Phone
Cell Phone
Other Phone
Email Address


Contact 2:
Last Name *
First Name
Street Number *
Street Name *
Suite
City *   State *   Zip * 
Home Phone *
Work Phone
Cell Phone
Other Phone
Email Address
 
Alarm Company Information
Select the contracted alarm company.
 
 
Monitored By  
Sold By  
Special Conditions
Such as people who need special assistance, animals or pets on premises, or storage of any hazardous materials, explosives or firearms on premises
  
Password
Password must be 8 to 15 characters and include one number, one lower case letter, one capital letter and one special character (! @ # $ %).
Enter and verify your password
Enter Password *
Re-enter Password *
 
 

Mint Hill Alarm Management Services |P.O. Box 690940 7151 Matthews-Mint Hill Rd. Mint Hill, NC 28227 | (704) 545-1085
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