Online Form

Contact Superior Security Services Today to find out more about our full range of security services, tailored to suit any of your needs.

This form is used to provide us with information needed for billing and contact information when we respond to calls. We will need company billing information and 2 contacts for alarm response. Thank you for doing business with Superior Security Services Ltd.

For general inquiries, please see our contact information.

Billing Information:

Name:
Title:
Organization:
Street Address:  
City
Province:
Postal Code:
Work Phone:
FAX:
E-Mail:

Emergency Contact Information:

Emergency Call in List:  
1st Person to Call:
Name:
Title:
Home Phone:
2nd Person to Call:
Name:
Title:
Home Phone:

Alarm Company Contact Information:

Alarm Company Contact Infromation:  
Contact:
Organization:
Work Phone:
FAX:

Dates and Times:

Start Date:  
On Dute: / AM PM
Off Dute: /AM PM

Site Address:

Street Address:  
City:
Province:
Postal Code:

Special Instructions:

Name:

Date:


Tel:
604-598-2600
604-502-8028


Fax:
604-502-8522


Toll Free:
1-866-502-8502


Head Office:
#119 - 13140 80th Ave.
Surrey, British Columbia
Canada          V3W 3B2

Copyright © 2004 by
Superior Security Services.
All Rights Reserved.