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2. Monthly Fee: $35
   *additional fees may be added depending on selection of service(s)
4. Note:
   Please contact an alarm technician FIRST to connect your system to DirectLink. Technicians are able to provide, install, and service equipment for your system. SECONDLY, complete the DirectLink form below. An incomplete form will delay your service start date. Please come by the Police Department to pick up a DirectLink yard sign. (optional)
6. Your Contact Information
8. Street Address*
   You do not need to enter a city, state, or zip code.
10. Previous Address
    Please provide previous West University Address if you held a prior alarm permit. You do not need to enter city, state, or zip code.
12. Property Type*

    Select which option best describes your property.

    1. Home
    2. Business
14. First Name*
15. Last Name*
17. Email Address*
18. Home Number
19. Cell Number *
21. Secondary Contact Information (resident)
23. First Name
24. Last Name
26. Email Address
27. Cell Number
29. Commercial Information
31. Property / Business Name
32. Phone Number
34. Name of Manager / Owner
35. Phone Number
37. Emergency Contact Information: (required for resident/business)
    Other than the resident or business owner/manager, list two individuals who can respond to the alarm site, have access to the site and the code for disarming the alarm.
39. First Name*
40. Last Name*
42. Address1
44. Address2
46. City
47. State
48. Zip
50. Home Number
51. Cell Number*
53. First Name
54. Last Name
56. Address1
58. Address2
60. City
61. State
62. Zip
64. Home Number
65. Cell Number*
67. Passwords
    Enter a password of your choice. We will use this to verify you when you contact us.
69. Primary Password*
71. How did you hear about Direct Link?*
    -- Select One --City Website Social Media News Paper AdCity CurrentsRealtor/BuilderFriends or Family Other
73. Additional Details
75. Alarm Notification Types*

    1. Burglary
    2. Fire
    3. Panic
    4. Smoke
    5. E.M.S.
    6. AES
77. Alarm Panel Brand / Model Number*
78. Installer Company Name *
80. Pre-Existing Zone List

    1. I will be using the previous homeowner's zone list.
82. New Zone List
    If you were given a zone list from your installer, please provide it in the space above. Indicate both the zone number and its description (i.e. Zone 1 - front door, Zone 2 - back door, Zone 3 - garage, etc.). This application CANNOT be processed without your zone list.
86. Allowed on Premises
    Please provide name, their relationship (such as "friend", "uncle" etc.) and phone number all off persons authorized to enter the premises of the permit holder.
88. First Name, Last Name
89. Relationship to you
91. Home Number
92. Mobile Number
94. First Name, Last Name
95. Relationship to you
97. Home Number
98. Mobile Number
100. City of West University Place Other Provisions
     City of West University Place Other Provisions

     Please read and acknowledge the City of West University Place Provisions
102. First Name*
103. Last Name*
Leave This Blank:


105. 1. Receive an email copy of this form.
106. Email address

     This field is not part of the form submission.

107. Submit Submit and Print

* indicates a required field