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Jermyn Borough Alarm System Registration
Alarm Systems Within Borough Limits Must Be Registered
Property Owner Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Phone
*
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-
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-
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Email
Name (s) of Occupants
Emergency Contact Name
*
First
Last
If We Are Unable to Contact Property Owner In Case of Activate Alarm System
Emergency Contact Phone #
*
###
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###
-
####
Type of Alarm
Burglar Alarm
Burglar Alarm Protection Service
Fire Alarm
Fire Alarm Protection Service
Alarm Service Company Name
Alarm Company Phone
###
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###
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Does Alarm System Have Automatic Shut Off?
Please select
Yes
No
I Certify That the Above Information Is True, and Understand the Penalties of Multiple False Alarms As Stated in Borough Ordinance 01 of 2002, and Amended in Resolution 16-2016. I also hereby agree to pay a one time $25 Registration Fee.
*
I Agree
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