Emergency Key Order Form


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.
  • Emergency Key Costs: $35.00 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:

Payment Information: (Emergency Key costs $35.00 each)

Card Type:  Master Card       Visa       American Express
Card Number:---
Expiration Date: /  Security Code: 
Name on Card:

Quantity of emergency keys: 

Shipping Method:
 Overnight - $35.00
 2nd Day - $25.00
 3-Day Service - $20.00
 Ground - $15.00

Mail this form with the original key!