{"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":"2026-07-10T12:49:04","modified_gmt":"2026-07-10T12:49:04","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\">\r\n<nav>\r\n\t\t<li id=\"home\"><a href=\"\/a\/\">Partner Resources Home<\/a><\/li>\r\n\t\t<li id=\"documents-forms\"><a href=\"\/a\/partnerresources\/documents-forms\/\">Documents &amp; Forms<\/a><\/li>\r\n\t\t<li id=\"how-to-guides\"><a href=\"\/a\/partnerresources\/how-to-guides\/\">How-To Guides<\/a><\/li>\r\n<ul>\r\n\t\t<li id=\"partner-portal\"><a href=\"\/a\/partnerresources\/how-to-guides\/partner-portal\/\">Partner Portal<\/a><\/li>\r\n\t\t<li id=\"partner-app\"><a href=\"\/a\/partnerresources\/how-to-guides\/partner-app\/\">Partner App<\/a><\/li>\r\n\t\t<li id=\"seemyalarm-portal\"><a href=\"\/a\/partnerresources\/how-to-guides\/seemyalarm-portal\/\">SeeMyAlarm Portal<\/a><\/li>\r\n\t\t<li id=\"seemyalarm-app\"><a href=\"\/a\/partnerresources\/how-to-guides\/seemyalarm-app\/\">SeeMyAlarm App<\/a><\/li>\r\n\t\t<li id=\"video-guide\"><a href=\"\/a\/partnerresources\/how-to-guides\/video-guide\/\">Video<\/a><\/li>\r\n<\/ul>\r\n\t\t<li id=\"working-with-affiliated\"><a href=\"\/a\/partnerresources\/working-with-affiliated\/\">Working with Affiliated<\/a><\/li>\r\n\t\t<li id=\"contact-us\"><a href=\"\/a\/partnerresources\/contact-us\/\">Contact Us<\/a><\/li>\r\n<\/nav><\/div>\r\n<script>\r\nlet url=document.documentURI;\r\nif (url.includes(\"partner-portal\"))\r\n\t{document.getElementById(\"partner-portal\").className=\"active\";}\r\nelse if (url.includes(\"partner-app\"))\r\n\t{document.getElementById(\"partner-app\").className=\"active\";}\r\nelse if (url.includes(\"seemyalarm-portal\"))\r\n\t{document.getElementById(\"seemyalarm-portal\").className=\"active\";}\r\nelse if (url.includes(\"seemyalarm-app\"))\r\n\t{document.getElementById(\"seemyalarm-app\").className=\"active\";}\r\nelse if (url.includes(\"video-guide\"))\r\n\t{document.getElementById(\"video-guide\").className=\"active\";}\r\nelse if (url.includes(\"how-to-guides\"))\r\n\t{document.getElementById(\"how-to-guides\").className=\"active\";}\r\nelse if (url.includes(\"documents-forms\"))\r\n\t{document.getElementById(\"documents-forms\").className=\"active\";}\r\nelse if (url.includes(\"working-with-affiliated\"))\r\n\t{document.getElementById(\"working-with-affiliated\").className=\"active\";}\r\nelse if (url.includes(\"contact-us\"))\r\n\t{document.getElementById(\"contact-us\").className=\"active\";}\r\nelse\r\n\t{document.getElementById(\"home\").className=\"active\";}\r\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>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":15,"href":"https:\/\/portal.affiliated.com\/a\/wp-json\/wp\/v2\/pages\/485\/revisions"}],"predecessor-version":[{"id":3830,"href":"https:\/\/portal.affiliated.com\/a\/wp-json\/wp\/v2\/pages\/485\/revisions\/3830"}],"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}]}}