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2. COLCHESTER POLICE ALARM REGISTRATION - Commercial
4. Business Name*
6. Business Address*
7. Business Phone Number*
9. Person Responsible for Alarm*
11. Contact Number*
12. Email*
14. IF MAILING ADDRESS IS NOT THE ALARMED ADDRESS, PLEASE COMPLETE THE FOLLOWING:
16. Street Name
18. City / Town
19. State
20. Zip Code
22. CONTACT INFORMATION:
24. PLEASE LIST THREE INDIVIDUALS WHO HAVE KEYS / ACCESS TO THE PROPERTY IN CASE OF AN EMERGENCY:
26. Contact # 1*
27. Home Phone Number
29. Cell Phone Number
31. Has key to business?

    1. Yes

    1. No
35. Contact # 2
36. Home Phone Number
38. Cell Phone Number
40. Has key to business?

    1. Yes

    1. No
44. Contact # 3
45. Home Phone Number
47. Cell Phone Number
49. Has key to business?

    1. Yes

    1. No
51. ALARM MONITORING COMPANY INFORMATION:
53. Please Select One*
    -- Select One --ADTCentra-larmDieboldFederated Fire / SecurityHome SecurityInterfaceLive WatchMetro DialMonitronicsNortheastern SecurityProperty ProtectionProtection 1Rapid ResponseRound Hill SecuritySentinelStanley SecuritySummitTyco IntegratedXfinity / ComcastOther
54. 24 Hour Phone Number
56. If Other please list here:
57. Phone Number
59. ACKNOWLEDGEMENT:
61. 
63. 
65. Please check the box below:*

    1. I acknowledge that I have read the Colchester Police False Alarm Ordinance
67. Please initial below*
69. THANK YOU
71. POLICE USE ONLY

    1. E-M
    2. E-List

    1. Wave
    2. SS

    1. Valcour
    2. Paid
Leave This Blank:


73. 1. Receive an email copy of this form.
74. Email address

    This field is not part of the form submission.

75. Submit

* indicates a required field