REGISTRATION FEE: $50.00
COMMERCIAL ALARM / EMERGENCY CONTACT REGISTRATION
Type of Registration (Check One): New Registration Update
Facility Name: _
Location Address:
Unit-Information: Building#:
Floor#:
Suite#:
Unit #:
Mailing Address:
Business Telephone #: Fax #:
Main Contact E-mail address:
Type of Alarm System: Emergency Contact Information Only – No Alarm System
Burglar Alarm system Hold-Up
Alarm Monitoring Company:
Address: Town & Zip
Telephone #: Install Date:
PERSONS TO BE CONTACTED IN THE EVENT OF AN ALARM OR EMERGENCY
Name, Title (One Per Line) Telephone (One Per Line)
1.
2.
3.
NOTE: Please notify this office of any change of information or property ownership. Payment
should be made out to South Brunswick Township.
Print Name: Title: ______________
Signature Date:
Return to: South Brunswick Police Department
Alarms Coordinator
540 Ridge Road
Monmouth Junction, NJ 08852
Phone#: 732-329-4000 X 7480
Fax #: 732-823-3964
click to sign
signature
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