High Peak Borough Council
Hayfield Road
Chapel-en-le-Frith
High Peak
SK23 0QJ

Tel: 0845 129 77 77 or 01298 28400
Monday - Friday, 8am - 8pm
SMS Text: 07800 00 22 62
Minicom: 0845 129 48 76
Fax: 01663 751042

Keyholder Registration Form

Please provide details below. The information will be passed onto the appropriate section.

Address of premises where the alarm is installed:
Name of owner/occupier:
Contact Phone Numbers:	Daytime Evening Mobile Your e-mail address
Please register the following keyholder(s) for my alarm:
KEYHOLDER 1:
Name:
Address:
Contact Phone Numbers:	Daytime Evening Mobile Your e-mail address
KEYHOLDER 2:
Name:
Address:
Contact Phone Numbers:	Daytime Evening Mobile Your e-mail address
Please type the word: "NOTSPAM"