ALARM PROTECTION SERVICES ACCEPTANCE FORM By using our website (securitybyaps.com), I hereby acknowledge receipt of my Alarm Protection Services Sales Agreement and/or my Alarm Protection Services Monitoring Agreement that has been provided to me via E-mail attachment (or fax) in its entirety from which I have a hard copy. In addition, I hereby acknowledge that I have read and fully understand all the terms and conditions on the reverse side of my SALES AGREEMENT and/or my MONITORING AGREEMENT, and which documents I have in my possession. I agree to pay the amount quoted by my APS sales representative and which quoted total appears in my Sales Agreement and/or Monitoring Agreement. I hereby acknowledge that the information which I have provided below, in combination with my clicking the button entitled "I AGREE TO APS TERMS & CONDITIONS", obligates me to these terms and conditions, and I am digitally signing the Sales Agreement and/or Monitoring Agreement. Please enter the following: (All fields are required and noted with an *)