Fillable Commercial Business Alarm Registry - Rev060619 TOF3120.004 - Town of Fishkill Police - Commercial Business Alarm Registry

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Commercial Business Alarm Registry - Rev060619 TOF3120.004 - Town of Fishkill Police - Commercial Business Alarm Registry

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Town of Fishkill Police
Commercial Business Alarm Registry
page 1 of 2
Company Information:
Name of Business:
_________________________ Business Phone: _____________
Business Address:
__________________________________
__________________________________
__________________________________
Alarm Information:
Alarm Type (panic, motion, etc.): ___________________________
Alarm Company or Monitoring SVC: ___________________________
Alarm Company Address:
__________________________________
__________________________________
__________________________________
Alarm Company Phone: _____________
Connected to (check box that applies):
Town of Fishkill Police Department DCSO NYSP
Other:______________
Town of Fishkill - 807 Route 52 - Fishkill, NY - 845.831.1110
TOF3120.004 - Town of Fishkill Police - Commercial Business Alarm Registry
__________________________________
__________________________________
__________________________________
Email Address:
Management Information:
Manager's Name: _________________________ Phone: _____________
Manager's Address:
Email Address:
Town of Fishkill Police
Commercial Business Alarm Registry
page 2 of 2
Assistant Manager's Name: _________________________
Phone _____________
Assistant Manager's Address:
__________________________________
__________________________________
__________________________________
Additional KeyHolders:
Name #1: _________________________ Phone/Pager #1: _____________
Address #1:
__________________________________
__________________________________
__________________________________
Name #2: _________________________ Phone/Pager #2: _____________
Address #2:
__________________________________
__________________________________
__________________________________
IN THE EVENT OF ANY TYPE OF CHANGES NOTIFY THE TOWN OF FISHKILL POLICE
IMMEDIATELY AT 845.831.1110
Additional Information/Comments:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Town of Fishkill - 807 Route 52 - Fishkill, NY - 845.831.1110
TOF3120.004 - Town of Fishkill Police - Commercial Business Alarm Registry
Email Address:
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Commercial Business Alarm Registry - Rev060619 TOF3120.004 - Town of Fishkill Police - Commercial Business Alarm Registry

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Completed 12 July 2020

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