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Attention Residential Customers !!
Please complete the Residential Security Survey and the Residential Property Details Forms

 

Independent Security Specialists

$0 Down Alarms
Access Control Burglar & Fire Alarms Cameras, Monitors, & DVRs Aiphone Intercoms ASC Customers

"Protecting Property & Saving Lives For Over Twenty Years..."
"I have been a Customer since 1997, and I have nothing but KUDOS for ASC - Monitoring, Police Response, Service, and Professionalism." ---- Anelda Wilson

"I am really glad I switched from ADT to ASC." ----- ASC Customer

Get Added Peace of Mind and Protection with Monitored Alarms, Access Control, Cameras, and Intercoms

**Please Complete the Form Below to Request ASC to Takeover the Monitoring of Your Security System**

Contact Name:

Street Address:

City:

State:

Zip Code:

Premises Phone:

Work Phone:

Cell Phone:

Credit:

Score:

I will fax or email a copy of my latest credit report.

 

Credit check authorization:

I authorize American Security & Communications to verify my credit score.

Status Option 1:

I am renting this location.

Status Option 2:

I am the homeowner.

Security System:

Model and Control Panel:

Wiring:

Door Sensors:

Window Sensors:

Motion Detectors:

Smoke Detectors:

Other:

Additional Equipment:

I want to add more equipment.

Equipment Choice 1:

Equipment Choice 2:

Equipment Choice 3:

Equipment Choice 4:

Equipment Choice 5:

Contract:

I am not under contract for monitoring services with any other alarm company.

Activation Authorization:

I authorize American Security & Communications to activate my alarm equipment as shown above.

I want 24 hour monitoring:

I authorize American Security & Communications to provide me with 24 hour a day monitoring services.

All info is correct:

I accept the above coverage as adequate. I attest that all information is true to the best of my knowledge.

Billing Preference:

Check Credit Card Account AutoPay

* If you choose credit card payment, please print and fax the Credit Card Billing Authorization form to 202-291-7348.

** If you select Account AutoPay option, please print and fax the Account AutoPay form to 202-291-7348.

 

  

 

ASC Guide for Managing Security Systems

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Independent Security Company