www.protexsafe.com
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About
My Account
Instructions:
Please fill out this form with as much information as possible to expedite the procedure.
Please print a copy and mail this form with the
original keys
.
Make sure to ship the keys and the form in a padded envelope or a small box.
Do not ship the keys in a regular mail envelope,
they will get lost!
Once shipped you will receive a confirmation email with you invoice and tracking number.
Tubular Key Costs: $25.00 each
Billing Information:
First Name:
Last Name:
Company:
Address:
City:
State:
Zip Code:
Phone Number:(
)
-
ext.
Email:
Shipping Information:
Same as billing information
First Name:
Last Name:
Company:
Address:
City:
State:
Zip Code:
Phone Number:(
)
-
ext.
Safe's Information:
Model Number:
Serial Number:
Date of Purchase:
Key Number:
Payment Information: (Tubular Key costs $25.00 each)
Card Type:
Select...
Visa
MasterCard
American Express
Card Number:
Expiration Date: Month
01
02
03
04
05
06
07
08
09
10
11
12
/ Year
2012
2013
2014
2015
2016
2017
2018
2019
2020
Security Code:
Name on Card:
Quantity of tubular keys:
1
2
3
4
5
6
7
8
9
10
Shipping Method:
Select Shipping Method...
Overnight - $35.00
2nd Day - $25.00
3-Day Service - $20.00
Ground - $15.00
Mail this form with the original key!