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APPLICATION FORM

If you would like to apply for an installation of one of the Monitored range or requesting a quotation for use in applying for a grant simply complete the form below and click on the Continue button.

If you require a quotation to go with an application for a grant then please choose option 5 from the Require Package drop down box.

If your business does not have a landline telephone installed or where the telephone wires to your premises are potentially susceptible to being cut from outside we strongly recommend you choose the GSM upgrade which uses mobile phone technology to communicate with the monitoring station. GSM upgrades have an additional one off cost of £175 plus vat plus a monthly SIM card cost of circa £3.50* per month plus vat. (*under normal usage).

If you believe that you need a GSM upgrade please choose either option 3 or 4 from the Required Package drop down box

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Business Trading Name:
 

*
Surname:
 
*
First Name:
*
Address 1:
 
*
Address 2:
Town/City:
*
County:
*
Post Code:
*
Telephone No:
*
Mobile No:
Email Address:
 
*
Business Type:
*
Company Reg Number:
(if Applicable)
Trading History:

*

Nature of Business::
Service Required ?
*
Required Package:
*+ VAT
I Agree to be credit checked:

(Applicable to SoleTraders or Partnerships ONLY)

* = Required Fields

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Customer Case Studies

Little Barber Shop

Fire Proction Coating Ltd

Croydon Visitor Centre

Jelly Rolls Designer Ladieswear

Regency Jewellers

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