Alarm Monitoring Form

Fill out this form after purchasing Your DSC Alexor Wireless Security Suite
Designing your Alexor Security System is easy using the Custom Alarm Builder.

First Name:
Last Name:
Company Name:
Street Address (where system is located):
City:
State:
Zip Code:
Tel No best to contact you:
Ext:
(If applicable) Tel No alarm control panel uses:
Email Address:
How did you hear about us?
What type of property is your system protecting?
How will your Alexor System communicate?

Help us to better protect you by describing the intended placement of your security system devices and alarm zones as best as possible.
For help, feel free to contact us at 1-866-354-5529 or Customerservice@firststopsecurity.com

Zone	Type of Zone	Type of Device	Zone Description
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Emergency Contact Information

Premise Tel No:

Emergency Call-List (can include yourself if other than premise number)
Please include at least 3 people if possible.

Name:	Title/Relationship:	Tel No:
Name:	Title/Relationship:	Tel No:
Name:	Title/Relationship:	Tel No:
Name:	Title/Relationship:	Tel No:
Name:	Title/Relationship:	Tel No:

Police Dept Name:		Tel No:

Fire Dept Name:		Tel No:

Medical Contact:		Tel No:

Dispatch Permit Required?		Permit #:

False Alarm Password (pets name, city born...etc.):
Arm/Disarm 4-Digit Alarm Code (####):
Have you already purchased a DSC Alexor system?
First Stop Order #:
What other security solutions would you like to know more about?	Monitoring Services Other Burglar Alarms Video verification Fire Protection Life Safety/Medical Other
Do you prefer a particular contact time?
Additional Comments, Questions or Concerns:
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