HomeMy WebLinkAboutAlarm Service Agreement - MHP Letters / Memos S & S Security Systems Inc.
Corporate office: 1-800-473-SAFE Silverdale office:
610 112th Street East Pierce Co.253-535-6300 Seattle 425-228-2100 3500 NW Anderson Hill RD
Tacoma WA 98445 Kitsap Co.360-698-5000 Silverdale WA 98383
Lic#SSSECS1022JP Alarm Services Agreement
New Subscriber Conversion New Address Re-Sign Formerly
Date / / ID Number JTrid Number
Name Contact L
Address / ..3 City lr- Zip
Phone 372, 26 2
Acct#
Electrical Company Scheduled install date
Type o stem: _Burglar _wwFire _Camera _Access Control
Direct Sale —— Leased System z Extended WarrantyAnnual Testin
'i11�o�orTngprovid- �—----—— --------- ------�------�------------
_Burglar ire r'"Dual line _Temp_Panic _Medical _Hold-up _O/C log only _O/C w/by-wkly rpt
O/C Supv.&Sched. Daily test Wkly test Other:
Schedule of Equipment:
Quan I Equipment Description Quan Equipment Description
Control Panel# part.3 0,0 Emergency Panic Button Hold-up
Partitions codes zones Rate of Rise Detector
Di itaI Keypad# Z- Smoke Detector
Key Chain Remote 4 Button jOutside Siren W/Strobe Light
Door Contact wired W.L. Inside Siren
Garage Door Contact ULG 5,71
Window Contacts wired W.L. s / /et &*I-,
Passive Infrared Motion Detector / 4
Installation Charges: Monitorina Charges:
Sale and/or Install Monitoring Fee( monthly)
Sales Tax Open/Close( monthly) Per partition
Sub Total Lease Charges:
Electrical permit Monthly Lease Amount
Monthly Fees billed Quarterly Extended Warrantee:
Total Due Monthly(billed Quarterly) r-
Deposit Annual Alarm Test.
Total Due @ Install Total Monthly to Billed Quarterly 's
Balance due on comp/edon
Special Instructions:
Emergency Agencies
Police/Sheriff Fire Medical
Telephone Number Telephone Number Telephone Number
Name Name Name
Address Address Address
City State Zip City State Zip City State Zip
Persons to be Contacted on Alarms Relationship to Subscriber Primary Phone No. Alternate Phone No.
Subscriber agrees to the Terms and Conditions of this agreement(including specifically those on the reverse side hereof)and
ack a ges that the terms have been read.
Su scrib ignature Ala .Signature
Authorized Signature
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