New Dealer Setup
All fields marked with * are required
I have read and I accept the terms of the Activation Agreement*   Download Activation Agreement
I want monthly service billed to me  
I am tax exempt  
   
Business Profile
Company Type
Company Description
State(s) Covered
Alarm/Business License #*
Company DBA Name*
Company Legal Name*
Time Zone
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:
 
 
 
 
 
# Panels Installed Monthly
# Monitored Accounts
# Installers
# Sales People
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*
Address 2
City*
State*
Zip Code/Postal Code*
Province*
Country*
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
Address 1*
Address 2
City*
State*
Zip Code/Postal Code*
Province*
Country*
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