Completed form
is to be hand-delivered or mailed to the Pennington Borough Police Department
located at 30 North Main Street, Pennington, NJ 08534-0095
Home Phone Number Line #1:_________________________
Home Phone Number Line #2: ________________________
Business Phone Number: _________________________
Please check the appropriate boxes below.
Is this an initial registration or an update to a currently registered
alarm?
___ Initial ___ Update
Is this a private residence or a business?
___ Private Residence ___ Business
Type of alarm
Is this a Fire Alarm? ___ Yes ___ No
Is this a Panic Alarm? ___ Yes ___ No
Is this a Burglar Alarm? ___
Yes ___ No
Alarm Company Name:
___________________________________
Alarm Company Phone Number: ____________________________
Emergency Contact and Keyholder Information
First Contact Person
Name: ___________________________________________
Street Address: ____________________________________
City: _____________________ State _____ Zip Code: _________
Daytime Phone Number: _____________________
Evening Phone Number: _____________________
Second Contact Person
Name: ___________________________________________
Street Address: ____________________________________
City: _____________________ State _____ Zip Code: _________
Daytime Phone Number: _____________________
Evening Phone Number: ______________________
Third Contact Person
Name: ___________________________________________
Street Address: ____________________________________
City: _____________________ State _____ Zip Code: _________
Daytime Phone Number: _____________________
Evening Phone Number: _____________________
Please enter any comments or additional information that may assist
us in locating your property.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
