Shomer Sign Up Form

Name*

First NameLast Name

Cell Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Email*

example@example.com

Home Address (property that will be serviced by Shomer) *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact Name*

First NameLast Name

Emergency Contact Relationship*

Emergency Cell Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Premium Plan - $1,000Premium+ Plan - $2,000

In order to complete your sign up, we're going to need complete the list of questions below.

For Premium : In order for us to provide mail and package acceptance and the emergency response service, we will need access into your home, either by supplying us with a key or combination to enter your house. What will you provide us with?*

If providing a key, type in key. If providing a combination, type in the code.

For Premium+ : In order for us to provide the daily in-home check-in, mail and package acceptance, key management, and emergency response services, we will need access into your home, either by supplying us with a key or combination to enter your house. What will you provide us with?*

If providing a key, type in key. If providing a combination, type in the code.

Which entrance are you providing us access to?*

How many total entrances do you have to your home? (front, side, back)*

YesNo

If yes, please provide the alarm combination to disarm the alarm.

YesNo

Is there any specific information or instructions you would like to provide to our team regarding your home or service requirements?*

Once you provide this information, our team will process your application and contact you to finalize the details and confirm your enrollment in our Shomer home watch service.