STACK-ON QAS-1512-B Manual De Instrucciones página 5

Verification of ownership is required in order to receive replacement key for your security product.
In order to receive a replacement key to your security product:
Complete the following form and send to Stack-On Products.
1.
Send a copy of your valid driver's license along with the form.
2.
Send a copy of the receipt showing the original purchase.
3.
Security product owner must sign form.
4.
Owner's signature must be notarized.
5.
Send $10.00 for replacement key. Personal Check, MasterCard, or Visa accepted.
6.
Send completed information to:
7.
Serial Number______________________
Unit Dimensions________________________________________
Unit Description___________________________________________________________
Owner's Name ____________________________________ Date Purchased___/___/____
Owner's Address ___________________________ Unit or Apt Number _________________
City ___________________________ State _______________ Zip Code________________
Telephone Number: (____)___________________ Fax Number: (____)___________________
Owner's Email Address: ________________________________________________________
Owner's Signature __________________________ Notary Signature________________
Notary Commission Expires: _____/_____/_____ Notary Stamp
SERVICE REQUESTED
Key Replacement:
$10.00 charge for this service
Credit Card Information (Please circle one) MasterCard
Expiration Date: ___/___/___ Card Number:______________________________________
Credit Card Identification Number (Located on back of card, last 3 digits on signature strip)_________
9/07
®
Key Request
"This is not a Registration Form"
Stack-On Products Company
1360 N. Old Rand Road
P.O. box 489
Wauconda, IL 60084
Yes No
Key Number (if applicable) _______
Visa
5
18
40546-1507