Verification of ownership is required in order to receive replacement RFID device or key for your
security product.
In order to receive a replacement RFID device or key to your security product:
1.
Complete the following form and send to Stack-On Products.
2.
Send a copy of your valid driver's license along with the form.
3.
Send a copy of the receipt showing the original purchase.
4.
Security product owner must sign form.
5.
Owner's signature must be notarized.
6.
Send $10.00 for replacement key/RFID device. Personal Check, MasterCard, or Visa accepted.
7.
Send completed information to:
___________________
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 / RFID Device Replacement:
$10.00 charge for this service
Credit Card Information (Please circle one):
Expiration Date: ___/___/___ Card Number:______________________________________
Credit Card Identification Number (Located on back of card, last 3 digits on signature strip)_________
®
RFID Device or
This is not a Registration Form
Stack-On
1360 N. Old Rand Road
P.O. box 489
Wauconda, IL 60084
Key Number (if applicable)
Key Request
Products Company
®
_________
Yes
No
MasterCard
_________
RFID device
Visa
40720-1704
7
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