Service Inquiry Form

After completing the Service Inquiry Form, we will have someone in touch with you shortly, and we will regularly send you the latest product and promotion information.

Please fill in the information in ChineseĀ  *Required fields

Applicant Information

Senior Citizen Home Safety Association ("SCHSA") may use the personal data you provide in this form to contact you regarding your enquiry, to provide you with more information about our services, and to arrange to provide services to you. Out of business requirement, SCHSA may disclose your personal data to third party contractors who provide services to support our business. It is voluntary to provide your personal data, but if you do not provide the data requested, SCHSA may not be able to properly respond to your enquiry. You may seek access to and request correction of any personal data SCHSA holds about you by contacting our Privacy Compliance Officer atĀ