CannonCare™ Enrollment Form

Choose Plan Type

Choose Plan Tier

How many total Smoke alarms or landscape lights do you have?

Have you used our services before? (Cannon Electrical Services)

First name

Last name

Phone #

Service Address

Country/Region

Address

City

Zip / Postal code

File upload (Optional)

Additional Notes: (Optional)

Home Evaluation Confirmation

I acknowledge that an in-home evaluation may be required before final pricing and membership activation.

Terms & Conditions / Policies Acknowledgment

I have read and agree to the CannonCare™ Membership Terms & Conditions and Warranty Policy. Terms & Conditions | Warranty Policy

Marketing Opt-In (Optional)

Sign me up for service reminders, promotions, and exclusive member offers.

How would you like us to follow up with you on this?

If you have more than 10 smoke alarms or more than 10 landscape light fixtures, please enter the total number of additional devices beyond the first 10. (Only fill out the applicable field — do not complete both.)

Smoke Alarms$10

Landscape Lighting$10