ALARMNZ.COM - CUSTOMER & PARTNER REGISTRATION

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^{^{New
Customer}}_▪^{^{Service Company}}_▪^{^Technician}

To join the Alarm New Zealand technical service network, please complete the service company registration form below.

Service Company Details

*Company Name*		*Contact Name*
*St Address*		Contact Mobile
Suburb		Contact *E-mail*
*Postal Address*		Phone (With Prefix)
Suburb, City		*Fax* (With Prefix)

If the Service Company Contact above is NOT the Service Dept Contact, Provide Information Below

Service Dept Contact

*Contact Name*		Phone (With Prefix)
Contact *E-mail*		*Fax* (With Prefix)
Contact Mobile

If the Service Dept Contact above is NOT the Installation Dept Contact, Provide Information Below

Installation Dept Contact

*Contact Name*		Phone (With Prefix)
Contact *E-mail*		*Fax* (With Prefix)
Contact Mobile

Technician Contact Information

Name	Testing Service A/Hours	Phone	Email
1.
2.
3.
4.
5.
6.

(Please note: further names for testing and after hour callout can be added later)

Service Company Web Access

Internet Login Name

Internet Password

Enter any further relevant information here:

Please contact me as soon as possible regarding this matter.

If your company is interested in being licensed by Alarm New Zealand as a government approved security guard download this application form here and send to PO Box 68950 Newton Auckland.

For further information regarding registration with Alarm NZ contact our Sales Department