GUARDIAN S.S.A.
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GUARDIAN SAFETY, SECURITY, & AUTOMATION
Request for Estimate Form
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Indicates required field
Name
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First
Last
Property Address that will be Monitored
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Line 1
Line 2
City
State
Zip Code
Country
County
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Madison
St. Francois
Iron
Wayne
Bollinger
Perry
Ste. Genevieve
Email
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Phone Number
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Do you currently have an alarm system?
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Yes
No
Do you have a basement?
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Yes
No
How many bedrooms are in your home? (if applicable)
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How many exterior doors do you have?
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Do you have any of the following. (check all that apply)
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Natural gas or propane stove
Natural gas or propane furnace
Natural gas or propane water heater
Natural gas, propane, or wood fireplace
Other natural gas, propane, or wood burning appliance
What would you like monitored? (check all that apply)
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Burglary
Fire
CO
Flood
Would you like to have the ability to control your alarm system from your smartphone?
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Yes
No
Are you interested in a video doorbell with mobile video and notifications?
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Yes
No
Are you interested in automation of your lights, door locks, thermostats, garage doors, or any other electrical item?
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Yes
No
Are you interested in adding video surveillance to your alarm system?
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Yes
No
Unsure
Submit
Home
About
Contact
Forms
Services
Alarm Systems
Access Control
Home Automation
Camera Surveillance Systems
Critical Infrastructure Security
Fall Detection & Personal Safety Systems