Form

Management Company*

Property Name*

First name

Last name

Email*

Phone number

Shipping Street Address*

City*

State/Region*

Postal Code*

Contract Length*

Do you agree to the contract length?*

This contract incorporates by reference and is subject to Apartment Guardian’s standard Terms and Conditions located here. On behalf of Customer, I have read the Terms and Conditions, and my agreement below indicates that I fully understand and agree to all of the Terms and Conditions. If I am executing this contract on behalf of a property, I represent that I have the authority to enter into this contract on behalf of the property. I acknowledge receipt of a copy of this Agreement.

Do you agree to the terms and conditions?*

Invoicing email*

How many Panic Tap Devices would you like to order?*

Any special instructions? For example, do not ship until a certain date, please ship to corporate office etc.

For questions, please email debora@apartmentguardian.com or call 952-288-3768.