OUTRIGHT PURCHASE- CUSTOMER INFORMATION

INFORMATION BEFORE YOU COMPLETE THE FORM

Thank you for choosing to purchase your alarm response system with SCH. When you activate your alarm, the unit will dial through directly to a list of nominated responders. These responders need to be able to swiftly access and answer any calls that are raised as a result of the activation. This form will collect all the details needed to set up the equipment ensuring that all nominated people have their contact details programmed into the equipment.

CUSTOMER DETAILS

Customer's name *

First

Last

Customers DOB *

Customers Address *

Address Line 1

City

State / Province / Region

Postal Code

Customers Landline Number

Customer's Mobile number

RESPONDER 1 DETAILS

This person would be called first

Responder 1 Name *

First

Last

Landline Number

Mobile number *

Relation to customer *

Any special instructions? - This could be information for example on the availability of the responder i.e only call between the hours of 8am and 8pm

Do you need to add another responder? *

RESPONDER 2 DETAILS

This person would be called second

Responder 2 Name *

First

Last

Landline Number

Mobile number *

Relation to customer *

Any special instructions? - This could be information for example on the availability of the responder i.e only call between the hours of 8am and 8pm

Do you need to add a 3rd responder?

RESPONDER 3 DETAILS

This person would be called third

Responder 3 Name *

First

Last

Landline Number

Mobile number *

Relation to customer *

Any special instructions? - This could be information for example on the availability of the responder i.e only call between the hours of 8am and 8pm

Do you need to add a 4th responder?

RESPONDER 4 DETAILS

This person would be called fourth

Responder 4 Name *

First

Last

Landline Number

Mobile number *

Relation to customer *

Any special instructions? - This could be information for example on the availability of the responder i.e only call between the hours of 8am and 8pm (copy)

Do you need to add a 5th responder?

Responder 5 details

This person would be called Fifth

Responder 5 Name *

First

Last

Landline Number

Mobile number *

Relation to customer *

Any special instructions? - This could be information for example on the availability of the responder i.e only call between the hours of 8am and 8pm (copy) (copy)

SPECIAL INSTRUCTIONS

Is there any other information that you think we need to be aware off?

INFORMATION BEFORE YOU COMPLETE THE FORM

CUSTOMER DETAILS

RESPONDER 1 DETAILS

RESPONDER 2 DETAILS

RESPONDER 3 DETAILS

RESPONDER 4 DETAILS

Responder 5 details

SPECIAL INSTRUCTIONS

Contact Us

Social media

Quick Links

Accreditations

OUTRIGHT PURCHASE- CUSTOMER INFORMATION

INFORMATION BEFORE YOU COMPLETE THE FORM

CUSTOMER DETAILS

RESPONDER 1 DETAILS

RESPONDER 2 DETAILS

RESPONDER 3 DETAILS

RESPONDER 4 DETAILS

Responder 5 details

SPECIAL INSTRUCTIONS

Contact Us

Social media

Quick Links

Accreditations

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