Form Center

2. The ordinance requires businesses and residential alarm users to register their systems with the town.
   
   For additional information regarding the Town Ordinance for Emergency Alarm Systems please visit https://ecode360.com/33919124.
   
   Initial registration - $50.00

6. Registration Type*

   1. Commercial
   2. Residential
7. Westfield Alarm Number (if known)
9. Property Address*
10. Phone Number*
12. Business Name*
13. Billing Preference*

    1. Bill the property address listed above
    2. Bill a different address (additional fields will appear below)
17. Owner #1 Name*
18. Owner #1 Phone*
19. Owner #1 Email Address*
21. Owner #2 Name
22. Owner #2 Phone
23. Owner #2 Email Address
25. Billing Address*
26. Billing City*
27. Billing State*
    -- Select One --NJ - New JerseyAK - AlaskaAL - AlabamaAR - ArkansasAZ - ArizonaCA - CaliforniaCO - ColoradoCT - ConnecticutDE - DelawareFL - FloridaGA - GeorgiaHI - HawaiiIA - IowaID - IdahoIL - IllinoisIN - IndianaKS - KansasKY - KentuckyLA - LouisianaMA - MassachusettsMD - MarylandME - MaineMI - MichiganMN - MinnesotaMO - MissouriMS - MississippiMT - MontanaNC - North CarolinaND - North DakotaNE - NebraskaNH - New HampshireNM - New MexicoNV - NevadaNY - New YorkOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVA - VirginiaVT - VermontWA - WashingtonWI - WisconsinWV - West VirginiaWY - WyomingOther - Non US
28. Billing Zip Code*
32. Alarm Company Name*
33. Alarm Company Telephone Number*
37. Emergency Contact #1 Name*
38. Emergency Contact #1 Phone #1*
39. Emergency Contact #1 Phone #2
41. Emergency Contact #2 Name
42. Emergency Contact #2 Phone #1
43. Emergency Contact #2 Phone #2
45. Emergency Contact #3 Name
46. Emergency Contact #3 Phone #1
47. Emergency Contact #3 Phone #2
51. Additional Information (Optional)
53. Alarm Fee
    New Alarm Registration
54. Price
55. Quantity
56. Shipping Cost
58. Taxable
Leave This Blank:


59. Calculate Totals Proceed to Checkout

* indicates a required field