Security Sign Up

Owner or Authorized Agent*

First name*

Last name*

Date of Birth*

mm/dd/yyyy

Contact Email*

Contact Phone*

Alternate Phone

Physical Address*

Street*

City*

State*

Zip*

Do you rent or own?*

Own

Rent

Landlord permission acknowledgment (required if renting)

I acknowledge that I have received permission from the landlord/property owner to proceed with the installation of required equipment for service at this location. Furthermore, I understand that if the landlord/property owner requests the removal of Peoples equipment within 90 days, I will be financially responsible for labor and equipment costs associated with the installation and removal of equipment.

I accept

Landlord name

Landlord phone

Billing Address (If different than physical address)

Street

City

State

Zip

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