KEYHOLDER’S INFORMATION - BUSINESS ACCOUNT Maximum Risk Protection Doc No: TD-001 Compiler: Member J.J Swarts Rev (Amdt) No: 6 Approving Officer: Member J.J Swarts Effective Date: 03/11/2014 BUSINESS NAME : STREET ADDRESS : POSTAL ADDRESS : CODE : PREMISES TEL. NR : E-MAIL : INSURANCE COMPANY : POLICY NUMBER : GATE KEYS/REMOTE: Yes No USER INFORMATION (PERSONS WITH ALARM CODES AND KEYS TO PREMISES) KEYHOLDER 1 : PHONE NR.: / KEYHOLDER 2 : PHONE NR.: / KEYHOLDER 3 : PHONE NR.: / KEYHOLDER 4 : PHONE NR.: / KEYHOLDER 5 : PHONE NR.: / KEYHOLDER 6 : PHONE NR.: / USER PASSWORDS (NOTE: PASSWORDS MUST NOT BE LONGER THAN 8 CARACTERS) USER 1 : PASSWORD : USER 2 : PASSWORD : USER 3 : PASSWORD : USER 4 : PASSWORD : USER 5 : PASSWORD : USER 6 : PASSWORD : OPENING AND CLOSING TIMES OF BUSINESS Monday-Friday:Open Close Sat :Open Close Sun : Open Close PROTECTED AREA – ZONE DISCRIPTION 1. 8. 15. 2. 9. 16. 3. 10. 17. 4. 11. 18. 5. 12. 19. 6. 13. 20. 7. 14. 21. TRANSMITTER CODE : INSTALLATION DATE : CONTROL PANEL : PROGRAM FORMAT : TRANSMITTER TYPE : GSM VHF PANEL LOCATION : SITE NUMBER :INSTALLERS NAME : RESPONSE TAG NO. : TAG LOCATION : TAG LOADED ON GUARDTRACK BY : SIGNATURE : LOADED ON WATCHMANAGER BY : SIGNATURE : By electronically submitting this document, I accept the terms and conditions as explained in this document. I agree to the contents of the document without applying my signature to it. I AGREE 3.15.219.217