Security Camera Registration Form

1

Last Name:

 *

Last Name:

2

First Name:

 *

First Name:

3

Address:

 *

Address:

4

Phone Number:

 *

Phone Number:ext.

5

Email Address:

Email Address:

6

What is your preferred method we use to contact you if/when needed?

What is your preferred method we use to contact you if/when needed?

Phone

Email

7

Type of Recording

Type of Recording

	Yes	No
DVR / NVR	Type of Recording	Type of Recording
Cloud	Type of Recording	Type of Recording

8

How long are your video recordings saved for:

 *

How long are your video recordings saved for:

9

Location of cameras

Location of cameras

	Yes	No
Interior	Location of cameras	Location of cameras
Front Yard	Location of cameras	Location of cameras
Back Yard	Location of cameras	Location of cameras
Left Yard	Location of cameras	Location of cameras
Right Yard	Location of cameras	Location of cameras

10

Do your cameras capture any portion of a street or neighbor's property? If so, what street or property:

Do your cameras capture any portion of a street or neighbor's property? If so, what street or property:

11

Camera capabilities

Camera capabilities

	Yes	No
Night Vision / Low Light	Camera capabilities	Camera capabilities
Motion Detection	Camera capabilities	Camera capabilities
Audio Recording	Camera capabilities	Camera capabilities

To prevent spam we utilize a verification code system. Please enter the code as it is shown in the box below:

 

Code:

Page 1 / 1