ALL-COM DIGITAL ACCOUNT SET UP FORM

                                                 Fire & Security Alarm Monitoring Services



                FAX TO: 573-392-8284 OR EMAIL TO: richard@all-comdigital.com


SUBSCRIBER NAME


AREA CODE  PREMISES PHONE


STREET
ADDRESS


CITY


STATE


ZIP CODE


LIST ALL AUTHORITY AND KEY HOLDER NUMBERS BELOW IN ORDER TO BE CALLED ON ALARM AFTER PREMISES.

                              CALL ORDER   POLICE -FIRE-MEDICAL OR KEY HOLDER
                                                            AREA CODE
NAME                                                 TELEPHONE NUMBER       HOME BUSINESS            ACCOUNT PASSWORD
                                                                                                         CELL-PAGER       

1


2


3


4


5




       ADDITIONAL KEY HOLDERS, ALARM CODE INFORMATION OR SPECIAL COMMENTS HERE