MY-ALARM offers Custom Designed Wireless Alarm Systems,
Wireless Video Systems and GPS Tracking Systems.


  •  Cellular based, no phone lines needed.
  •  No term contracts.
  •  Completely wireless commercial UL equipment.
  •  Complete Interactive Professional Control & View from any computer.
  •  iPhone, Android Apps Included.
  •  Instant text, MMS & email notifications on any activity.
  •  Lifetime Personal support from Security Professionals.
  •  Nationwide Installation Available.

My-Alarm Dealer Application

Thank You for taking time to explore the opportunity of becoming a Dealer for My-Alarm.

This may be the chance for you to enter into an industry that is now readily available due to new technologies and advancements in cellular and video services. Offers are extended to serious minded individuals and companies who wish to operate our dealerships, sell our products and services in protected markets. Our products and services generate both initial income and recurring revenue . All Dealers are guided and trained for success in this rapidly expanding industry.

  PROCESS:

                  1. Fill out the form & confidentiality agreement below
                  2. We will contact you within 48 hours of the receipt & processing.

  Personal and/or Company Information
Frist Name:*
Last Name:*
Company Name (if applicable):
Address:*
City:*
County:*
State:*
Email:*
Telephone:*
 Personal or Professional References:
Name:*
Telephone:*
Affiliation:*



Name:*
Telephone:*
Affiliation:*



Name:*
Telephone:*
Affiliation:*
 Interest & Experience Level:
Do You Have A Clean Criminal Background: Yes
No
Do You Have Experience In The Security Field: Yes
No
Are You Already Selling Security Products Yes
No
What Product Or Products Interest You:
What Market Area Would You Serve:



What Level Of Dealership Interests You:

Additional Information You Wish To Share:


   

  I promise the information that i provided on this form is true and correct. I  authorize My-alarm to contact the references I   provided. I understand that dishonesty will Disqualify me from consideration or revoke my agreement.

Signature:*
Date:*
 Confidentiality Agreement

It is understood and agreed to that the below identified discloser of confidential information may provide certain information that is and must be kept confidential. To ensure the protection of such information, and to preserve any confidentiality necessary under patent and/or trade secret laws, it is agreed that

1. The Confidential Information to be disclosed can be described as and includes:
Invention description(s), technical and business information relating to proprietary ideas and inventions, ideas,
patentable ideas, trade secrets, drawings and/or illustrations, patent searches, existing and/or contemplated
products and services, research and development, production, costs, profit and margin information, finances and
financial projections, customers, clients, marketing, and current or future business plans and models, regardless
of whether such information is designated as “Confidential Information” at the time of its disclosure.

2. The Recipient agrees not to disclose the confidential information obtained from the discloser to anyone unless required to do so by law.

3. The Discloser agrees not to disclose recipients name, company name, address, telephone numbers or email addresses to anyone unless required to by law.

4. This Agreement states the entire agreement between the parties concerning the disclosure of Confidential
Information. Any addition or modification to this Agreement must be made in writing and signed by the parties

.5. If any of the provisions of this Agreement are found to be unenforceable, the remainder shall be enforced as
fully as possible and the unenforceable provision(s) shall be deemed modified to the limited extent required to permit enforcement of the Agreement as a whole.

WHEREFORE, the parties acknowledge that they have read and understand this Agreement and voluntarily
accept the duties and obligations set forth herein.

 Recipient of Confidential Information:
Name:*
Company:*
Date:*



Discloser of Confidential Information:
MY-ALARM LLC
PO Box 1485
Lutz, Fl. 33548

*Required