{"id":485,"date":"2020-05-29T19:12:54","date_gmt":"2020-05-29T19:12:54","guid":{"rendered":"https:\/\/portal.affiliated.com\/a\/?page_id=485"},"modified":"2026-07-22T14:36:19","modified_gmt":"2026-07-22T14:36:19","slug":"request-materials","status":"publish","type":"page","link":"https:\/\/portal.affiliated.com\/a\/partnerresources\/documents-forms\/request-materials\/","title":{"rendered":"Request Materials"},"content":{"rendered":"<div class=\"page-container\">\n<div class=\"menu\">\n<nav>\n<li id=\"home\"><a href=\"\/a\/\">Partner Resources Home<\/a><\/li>\n<li id=\"documents-forms\"><a href=\"\/a\/partnerresources\/documents-forms\/\">Documents &amp; Forms<\/a><\/li>\n<li id=\"how-to-guides\"><a href=\"\/a\/partnerresources\/how-to-guides\/\">How-To Guides<\/a><\/li>\n<ul>\n<li id=\"partner-portal\"><a href=\"\/a\/partnerresources\/how-to-guides\/partner-portal\/\">Partner Portal<\/a><\/li>\n<li id=\"partner-app\"><a href=\"\/a\/partnerresources\/how-to-guides\/partner-app\/\">Partner App<\/a><\/li>\n<li id=\"seemyalarm-portal\"><a href=\"\/a\/partnerresources\/how-to-guides\/seemyalarm-portal\/\">SeeMyAlarm Portal<\/a><\/li>\n<li id=\"seemyalarm-app\"><a href=\"\/a\/partnerresources\/how-to-guides\/seemyalarm-app\/\">SeeMyAlarm App<\/a><\/li>\n<li id=\"video-guide\"><a href=\"\/a\/partnerresources\/how-to-guides\/video-guide\/\">Video<\/a><\/li>\n<\/ul>\n<li id=\"working-with-affiliated\"><a href=\"\/a\/partnerresources\/working-with-affiliated\/\">Working with Affiliated<\/a><\/li>\n<li id=\"contact-us\"><a href=\"\/a\/partnerresources\/contact-us\/\">Contact Us<\/a><\/li>\n<\/nav>\n<\/div>\n<p><script>\nlet url=document.documentURI;\nif (url.includes(\"partner-portal\"))\n\t{document.getElementById(\"partner-portal\").className=\"active\";}\nelse if (url.includes(\"partner-app\"))\n\t{document.getElementById(\"partner-app\").className=\"active\";}\nelse if (url.includes(\"seemyalarm-portal\"))\n\t{document.getElementById(\"seemyalarm-portal\").className=\"active\";}\nelse if (url.includes(\"seemyalarm-app\"))\n\t{document.getElementById(\"seemyalarm-app\").className=\"active\";}\nelse if (url.includes(\"video-guide\"))\n\t{document.getElementById(\"video-guide\").className=\"active\";}\nelse if (url.includes(\"how-to-guides\"))\n\t{document.getElementById(\"how-to-guides\").className=\"active\";}\nelse if (url.includes(\"documents-forms\"))\n\t{document.getElementById(\"documents-forms\").className=\"active\";}\nelse if (url.includes(\"working-with-affiliated\"))\n\t{document.getElementById(\"working-with-affiliated\").className=\"active\";}\nelse if (url.includes(\"contact-us\"))\n\t{document.getElementById(\"contact-us\").className=\"active\";}\nelse\n\t{document.getElementById(\"home\").className=\"active\";}\n<\/script><\/p>\n<div class=\"pr-content\">\n<h1>Request Materials<\/h1>\n<p>To request materials, select the appropriate check box and desired quantity, then click the &#8220;Request Materials&#8221; button at the bottom of the screen.<\/p>\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f193-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/a\/wp-json\/wp\/v2\/pages\/485#wpcf7-f193-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"193\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.3.2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f193-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"material-form\">\n<div class=\"material-name\">Your Name<\/div>\n<div class=\"material-dealer\">Dealer #<\/div>\n<div class=\"first-name black-border\"><span class=\"wpcf7-form-control-wrap first\"><input type=\"text\" name=\"first\" value=\"\" size=\"40\" maxlength=\"35\" minlength=\"2\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First Name\" \/><\/span><\/div>\n<div class=\"last-name black-border\"><span class=\"wpcf7-form-control-wrap last\"><input type=\"text\" name=\"last\" value=\"\" size=\"40\" maxlength=\"35\" minlength=\"2\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Last Name\" \/><\/span><\/div>\n<div class=\"dealer-code black-border\"><span class=\"wpcf7-form-control-wrap dealer\"><input type=\"text\" name=\"dealer\" value=\"\" size=\"12\" maxlength=\"6\" minlength=\"6\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Dealer Code\" \/><\/span><\/div>\n<div class=\"material-name\">Form Name<\/div>\n<div class=\"material-dealer\">Quantity<\/div>\n<div class=\"form-name\">Simple Monitoring Agreement (Legal language only)<\/div>\n<div class=\"form-qty\"><span class=\"wpcf7-form-control-wrap simple-qty\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"simple-qty\" value=\"25\" \/><span class=\"wpcf7-list-item-label\">25<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"simple-qty\" value=\"50\" \/><span class=\"wpcf7-list-item-label\">50<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"simple-qty\" value=\"100\" \/><span class=\"wpcf7-list-item-label\">100<\/span><\/label><\/span><\/span><\/span><\/div>\n<div class=\"form-name\">Standard Monitoring Agreement<\/div>\n<div class=\"form-qty\"><span class=\"wpcf7-form-control-wrap standard-qty\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"standard-qty\" value=\"25\" \/><span class=\"wpcf7-list-item-label\">25<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"standard-qty\" value=\"50\" \/><span class=\"wpcf7-list-item-label\">50<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"standard-qty\" value=\"100\" \/><span class=\"wpcf7-list-item-label\">100<\/span><\/label><\/span><\/span><\/span><\/div>\n<div class=\"form-name\">New Customer Information Form<\/div>\n<div class=\"form-qty\"><span class=\"wpcf7-form-control-wrap new-cust-qty\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"new-cust-qty\" value=\"25\" \/><span class=\"wpcf7-list-item-label\">25<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"new-cust-qty\" value=\"50\" \/><span class=\"wpcf7-list-item-label\">50<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"new-cust-qty\" value=\"100\" \/><span class=\"wpcf7-list-item-label\">100<\/span><\/label><\/span><\/span><\/span><\/div>\n<div class=\"form-name\">Medical Alert Customer Information Form<\/div>\n<div class=\"form-qty\"><span class=\"wpcf7-form-control-wrap medical-qty\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"medical-qty\" value=\"25\" \/><span class=\"wpcf7-list-item-label\">25<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"medical-qty\" value=\"50\" \/><span class=\"wpcf7-list-item-label\">50<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"medical-qty\" value=\"100\" \/><span class=\"wpcf7-list-item-label\">100<\/span><\/label><\/span><\/span><\/span><\/div>\n<div class=\"form-name\">Additional Customer Information Form<\/div>\n<div class=\"form-qty\"><span class=\"wpcf7-form-control-wrap additional-qty\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"additional-qty\" value=\"25\" \/><span class=\"wpcf7-list-item-label\">25<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"additional-qty\" value=\"50\" \/><span class=\"wpcf7-list-item-label\">50<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"additional-qty\" value=\"100\" \/><span class=\"wpcf7-list-item-label\">100<\/span><\/label><\/span><\/span><\/span><\/div>\n<div class=\"form-name\">Agreement Return Envelopes<\/div>\n<div class=\"form-qty\"><span class=\"wpcf7-form-control-wrap envelope-qty\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"envelope-qty\" value=\"25\" \/><span class=\"wpcf7-list-item-label\">25<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"envelope-qty\" value=\"50\" \/><span class=\"wpcf7-list-item-label\">50<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"envelope-qty\" value=\"100\" \/><span class=\"wpcf7-list-item-label\">100<\/span><\/label><\/span><\/span><\/span><\/div>\n<\/div>\n<div class=\"submit\"><input type=\"submit\" value=\"Request Materials\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/div>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Partner Resources Home Documents &amp; Forms How-To Guides Partner Portal Partner App SeeMyAlarm Portal SeeMyAlarm App Video Working with Affiliated Contact Us Request Materials To request materials, select the appropriate check box and desired quantity, then click the &#8220;Request Materials&#8221; button at the bottom of the screen.<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":1859,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"blank-page-with-container.php","meta":{"footnotes":""},"class_list":["post-485","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/portal.affiliated.com\/a\/wp-json\/wp\/v2\/pages\/485","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/portal.affiliated.com\/a\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/portal.affiliated.com\/a\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/portal.affiliated.com\/a\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/portal.affiliated.com\/a\/wp-json\/wp\/v2\/comments?post=485"}],"version-history":[{"count":17,"href":"https:\/\/portal.affiliated.com\/a\/wp-json\/wp\/v2\/pages\/485\/revisions"}],"predecessor-version":[{"id":3933,"href":"https:\/\/portal.affiliated.com\/a\/wp-json\/wp\/v2\/pages\/485\/revisions\/3933"}],"up":[{"embeddable":true,"href":"https:\/\/portal.affiliated.com\/a\/wp-json\/wp\/v2\/pages\/1859"}],"wp:attachment":[{"href":"https:\/\/portal.affiliated.com\/a\/wp-json\/wp\/v2\/media?parent=485"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}