Dealer Application

Type of Entity (Select One)
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Organization Information
Business Name
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DBA or Tade Names
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DUNS Number
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Website Address
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Federal Tax I.D. Number
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Year Established (Years)
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Monitoring Center
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Number of Offices
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Number of Employees
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Physical Business Address
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Physical City
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Physical State
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Physical Zip
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Owners/Managers
Name
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Title
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Phone Number
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Primary Email Address
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Equipment Used
Equipment Manufacturer
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Monthly Installs
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Do You Need Help With Marketing?

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Security Code
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WELCOME!

We look forward to providing you with security product savings, marketing materials and support, and the many more products and services we plan to offer in the near future. By submitting this application, you confirm that you are a professional security company operating in full compliance with federal and state legislation. By signing this application you agree that you have obtained and will maintain all necessary licenses, certifications, and insurance required to install and service burglary and/or re alarm systems in any and all states in which you conduct such installations or service.

PRIVACY POLICY

We protect your privacy while you visit us online. You do not have to provide any personal information to visit this web site. If you provide us information about yourself via e-mail or a web form, your information will be used only for the purposes described at the point of collection, such as to send information or products to you, or to respond to your questions or comments.

Information

Call Jake Voll
866.364.0030 x.222

Address:
237 Enterprise Road, Deltona, FL 32725
Phone: 866.364.0030
Fax: 407.608.1179
Email: info@ssandsi.com