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2. 
4. FEE: $20.00

   Payable by Credit or Debit Card over the phone or in person. Contact Christina Sellers, Records Clerk, at 251-968-2532; or pay by check, made out to City of Gulf Shores, mailed to the City of Gulf Shores, P.O. Box 896, Gulf Shores, AL 36547.

6. Date
   Date

   Date
8. Is this for a residence or business?

   1. Residence
   2. Business
9. Is this an original new application or a renewal?

   1. Original
   2. Renewal
11. CONTACT INFORMATION
13. Owner's Name:
15. Mailing Address:
17. E-mail Address*
19. Physical Address of Alarm System
21. Direct Telephone Line to Location
23. Telephone: (Owner: Main)
24. Telephone: (Owner: Work)
26. Name of Business: (If Applicable)
28. Type of Business: (If Applicable)
32. Please give the names of two other persons who may be reached at any hour of the day or night, and who can open the premises in which the alarm is installed. **If a Corporate Alarm, please include the names of three persons**
34. 1) Name and Telephone Number
36. 2) Name and Telephone Number
38. 3) Name and Telephone Number
40. ALARM SYSTEM INFORMATION
42. Type of Alarm System
44. Name of Alarm Equipment Supplier Selling
46. Name of Alarm Equipment Supplier Monitoring
48. Date System Was Last Inspected
    Date System Was Last Inspected

    Date System Was Last Inspected
50. I understand that there is a $20.00 Fee, and have read payment instructions listed above.*

    1. I agree
52. Applicant Signature
Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit Submit and Print

* indicates a required field