New Dealer Setup
All fields marked with * are required
I have read and I accept the terms of the Activation Agreement*
No
Yes
Download Activation Agreement
I want monthly service billed to me
No
Yes
I am a tax exempt reseller
No
Yes
Download Sales & Use Tax Form
The Multistate Tax Commission has developed a Uniform Sales and Use Tax Certificate that 38 States have indicated is acceptable for use as a 'blanket' resale certificate and for similar purposes. The Certificate itself contains instructions on its use, lists the States that have indicated to the Commission that a properly filled out form satisfies their requirements for a valid resale certificate, and sets forth specific limitations on its use. If you are claiming exemption in the states not listed in this form, please go to that state’s website to download resale certificate.
Email for Electronic Invoice Delivery*
*
*
Business Profile
Company Type
Not Specified
Installing Dealer
Installing Dealer w/ Central Station
3rd Party Central Station
Other
Company Description
State(s) Covered
Alarm/Business License #*
*
Company DBA Name*
*
Company Legal Name*
*
Time Zone
Eastern Standard
Central
Mountain
Pacific
GMT
Company Web Address
address should start with http:// or https://
*
Support Email
will be displayed to your customers in Uplink Remote
*
Opt-in for Newsletter and Marketing
Login Name*
*
Password*
*
Favorite Panel Brand(s)
Favorite Panel Model(s)
Check box if you install:
Residential Burg & Fire
Commercial Burg
Commercial Fire
PERS
# Panels Installed Monthly
Not Specified
0-9
10-24
25-49
50-99
100 or more
# Monitored Accounts
Not Specified
0-99
100-249
250-499
509-999
1,000-9,999
10,000 or more
# Installers
Not Specified
0-4
5-9
10-24
25 or more
# Sales People
Not Specified
0-4
5-9
10-24
25 or more
Primary Business Contact
Contact*
*
Title*
*
Phone*
format 123-456-7890 if USA or Canada
*
*
Phone Ext
*
Fax
format 123-456-7890 if USA or Canada
*
Mobile
format 123-456-7890 if USA or Canada
*
Email*
*
*
Primary Address
Address 1*
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Address 2
City*
*
Country*
USA
Canada
Mexico
Jamaica
Other
State/Province*
--Select State/Province--
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WI
WV
WY
Zip Code/Postal Code*
*
Billing Business Contact
Contact*
*
Title*
*
Phone*
format 123-456-7890 if USA or Canada
*
*
Phone Ext
*
Fax
format 123-456-7890 if USA or Canada
*
Mobile
format 123-456-7890 if USA or Canada
*
Email*
*
*
Billing Address
Copy from Primary
Address 1*
*
Address 2
City*
*
Country*
USA
Canada
Mexico
Jamaica
Other
State/Province*
--Select State/Province--
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WI
WV
WY
Zip Code/Postal Code*
*
Shipping Contact
Contact
Title
Phone
format 123-456-7890 if USA or Canada
*
Phone Ext
*
Fax
format 123-456-7890 if USA or Canada
*
Mobile
format 123-456-7890 if USA or Canada
*
Email
*
Shipping Address
Copy from Primary
Address 1
Address 2
City
Country
USA
Canada
Mexico
Jamaica
Other
State
--Select State/Province--
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WI
WV
WY
Zip Code/Postal Code
Technical Contact 1
Contact*
*
Phone*
format 123-456-7890 if USA or Canada
*
*
Phone Ext
*
Fax
format 123-456-7890 if USA or Canada
*
Mobile
format 123-456-7890 if USA or Canada
*
Email
used as From Address on email notifications if present
*
Technical Contact 2
Contact
Phone
format 123-456-7890 if USA or Canada
*
Phone Ext
*
Fax
format 123-456-7890 if USA or Canada
*
Mobile
format 123-456-7890 if USA or Canada
*
Email
used as From Address on email notifications if present
*
Alternate Contact 1
Contact 1
Title
Email
*
Alternate Contact 2
Contact 2
Title
Email
*