Choose a Monitoring Service Plan

Fire-Link      Business Lockdown    Home Emergency 24/7   Mobile-link   Secure-Link

or Select Additional Services (extra cost may be charged)

Police-Call   Medic-link   Video-Link   0800Speakout   Automation  Service-Link   Challenge  

Building Information

Building Name		Contact Name
Phone (With Prefix)		Mobile
St Address		Contact Phone
Suburb, Town, City		Fax (With Prefix)
Postal Address		Work E-mail
Postal Suburb, Town		Home E-mail

 

Emergency Callout and User List (In Priority Order)

Call	Name	Phone	Mobile Phone	Voice Code	User No
1st Call 2nd Call 3rd Call 4th Call 5th Call 6th Call 7th Call 8th Call
1st Call 2nd Call 3rd Call 4th Call 5th Call 6th Call 7th Call 8th Call
1st Call 2nd Call 3rd Call 4th Call 5th Call 6th Call 7th Call 8th Call
1st Call 2nd Call 3rd Call 4th Call 5th Call 6th Call 7th Call 8th Call
1st Call 2nd Call 3rd Call 4th Call 5th Call 6th Call 7th Call 8th Call
1st Call 2nd Call 3rd Call 4th Call 5th Call 6th Call 7th Call 8th Call
1st Call 2nd Call 3rd Call 4th Call 5th Call 6th Call 7th Call 8th Call
1st Call 2nd Call 3rd Call 4th Call 5th Call 6th Call 7th Call 8th Call

If the Building Contact  above is NOT the Building Owner, Provide Information Below

Building Owner Information

Owner Co Name		Contact Name
Phone (With Prefix)		Mobile
Postal Address		Fax (With Prefix)
Postal Suburb, Town		E-mail

 

If the Building Owner has a Management Representative, provide the  Information Below

 

Building Owner Representative Information

Owner Rep Name		Contact Name
Phone (With Prefix)		Mobile
Postal Address		Fax (With Prefix)
Postal Suburb, Town		E-mail

 

Alarm Service Company Information

Service Company		Contact Name
Phone (With Prefix)		Mobile
Fax (With Prefix)		E-mail
Job Reference		Connection Date

 

Accounts / Billing Information

Accounts Payable Contact	Phone	Email	Account Authorisation by

Billing Options

Prepay   Invoice   Regular A/P   Partner

 

If this is a Security Alarm Connection, provide the additional Information Below

 

 OPEN & CLOSE Schedule (Business Only)

	Mon	Tues	Weds	Thurs	Fri	Sat	Sun	Hol
Open
Close

 

Response Plan            (Fire-Link includes Automatic Brigade Dispatch)      

Alarm Activation	Dispatch Call Out /No Reply Dispatch Patrol          Dispatch Call Out and Patrol    Dispatch Call Out Only    Dispatch Patrol Only
Other Instructions

 

         Please contact the Customer Urgently regarding this connection.

         Please contact the Installer Urgently regarding this connection.