All alarm monitoring companies, which for purposes of this subsection shall include alarm contractors performing alarm monitor

ALARM SYSTEM CONTRACTOR REGISTRATION

Company InformationCompany Name FORMTEXT Street Number, Street Name, Apt/suite/unit FORMTEXT City, State, Zip FORMTEXT Phone 1 FORMTEXT Phone 2 FORMTEXT Florida License Number FORMTEXT Email Address FORMTEXT

Owner InformationFirst Name, Last Name FORMTEXT Street Number, Street Name, Apt/suite/unit FORMTEXT City, State, Zip FORMTEXT Phone 1 FORMTEXT Phone 2 FORMTEXT Email Address FORMTEXT

Owner REPRESENTATIVE InformationFirst Name, Last Name FORMTEXT Street Number, Street Name, Apt/suite/unit FORMTEXT City, State, Zip FORMTEXT Phone 1 FORMTEXT Phone 2 FORMTEXT Email Address FORMTEXT

Please review the information for accuracy prior to signing, dating and returning to theCity of Cape Coral Police Department, False Alarm Reduction Unit

By signing this registration form you are certifying that all of your agents are in compliance with Section 489.518, Florida Statutes; that you have reviewed and are in full complaince with City of Cape Coral Ordinance 149-04; and that all information is correct and true to the best of your knowledge.

Applicants SignatureDate Signed

City of Cape Coral Police Department False Alarm Reduction Unit PO BOX 150027 Cape Coral, FL 33915-0027(239) 242-3357 Fax (239) 242-3363