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Registration Form
SecurTek AutoNotify Service

Please indicate which service you are signing up for:
Basic

Do you have children arriving home alone? Can't be at your business all the time? With SecurTek AutoNotify, you will receive automatic messages to your email, cell phone, or fax which alert you when your alarm system has been armed or disarmed.

$5.95/month
 
Advanced

Do you have staff working alone or after regular business hours? With SecurTek AutoNotify, you will receive automatic messages to your email, cell phone, or fax which alert you when your alarm system has been armed or disarmed. Plus, as an added feature, Commercial AutoNotify customers can have their automatic messages sent to up to 5 different contacts!

$9.95/month
 

Customer Type
 

Preferred Method of Contact
I would like to receive my AutoNotify messages via (please choose only one):

Email: (please provide address)
Text Message: (provide phone email address)
 
Personal Information
Customer Contract Number (as appears on SecurTek contract):
Transmitter ID Number (as it appears on SecurTek Notification Form):

First Name: *

Last Name: *

Middle Initial: *

City: *

Province: *

Postal Code: *

Phone Number: *

Cell Number:

Fax Number:

Title:

E-Mail Address:

Organization / Company Name: (required only for commercial customers)

All fields with an asterisk * are required and must be filled in before the account can be created. Any incomplete forms cannot be processed.

NOTE: Account(s) can take up to 10 working days to be created.

SecurTek is committed to protecting your privacy. SecurTek will keep all personal information it receives from the customer as confidential.

As Principal user of this account, I acknowledge that the information submitted herein is accurate, and that this account and any information stored in the account is not my personal property, but is the property of SecurTek Monitoring Solutions, Inc.

I acknowledge that the information provided is accurate to the best of my knowledge and by submitting this information I agree that SecurTek is not liable for any errors or omissions contained herein.


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