Confirm Monitoring Systems, Inc.

ConFirm | Reminder Program

First Name:	In order to enroll electronically, you must agree to the following: By checking the box marked “Yes” below, you waive any claim of any kind which it may have against (Confirm Monitoring Systems, Inc./Biological Monitoring Systems) as a result of any failure to send us a reminder as set forth above. Also, in consideration of using this reminder system, we will indemnify and hold you harmless for any claim made against you by anyone claiming through us. Please promptly notify us of any changes in your email or street address by emailing us at CustomerService@ConFirmMonitoring.com or writing to us at the following address: ConFirm Monitoring Systems, Inc. 109 Inverness Drive East, Unit F Englewood, Colorado 80112-5105 Toll Free: 1.800.819.3336 P: 303-699-3356 F: 303-699-8255 If you do not agree with Confirm Monitoring Systems, Inc.'s Terms and Conditions, please select “No.” Please note that if you select “No,” you will not be able to electronically enroll in the reminder program. Please give us a call and enroll by telephone. Yes, I have read and agree to Confirm Monitoring Systems' terms above. No, I do not agree All fields are required excluding title/position.
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