TPSlinks
COMMUNITY ALERT
Crime Prevention Measures

TPSlinks
COMMUNITY ALERT
Crime Prevention Measures

TPSlinks
COMMUNITY ALERT
Crime Prevention Measures

Member Information Form

Due to the fact that we have Intelligarde security service, we understand the need to have contact information of our members for our database, in the case of an emergency. Please rest assured that this information will be kept strictly confidential and will only be used in the event of an emergency, such as a fire or intrusion.

Please fill out this form and fax back to us at 416-744-7857.

EMERGENCY CONTACT INFORMATION

Person to contact in case of an emergency:

First Name*:		Last Name*:
Business Phone:		Fax Number:
Cell Phone:		Home Phone:
E-mail*:
Business Name*:		Business Type:
Website:		E-mail (if different):
Address: (Street, Suite, City, Province, Postal Code)
Security Code:*