Lone Worker Monitoring Agreement | Towne Services

Please provide the information below to initiate your Emergency Alert account. Upon completion of the agreement below, please click on the User Submission form to submit the information for the parties that will be using the app.

Once you complete this form, your information will be sent to us and a copy will be sent to you as well. Should you have any questions, please feel free to contact us and we will be glad to help you through this process.

Name of company:

Complete Address (Street, City, State, Zip):

Phone Number

Please enter the name and email address of the person completing this form:

Your Name:

Your Email Address

Below you will see our agreement. This form, along with the answers that you've given above, will be sent to the email address that you provided above as record of completion. We will look for your user submission and will contact you with any questions we may have and to arrange the next steps.

Thank you for choosing Towne - We look forward to serving you.