NOTE: You can store your Key #, Serial # and Combination on Stack-On's SECURE web site – www.stack-on.com under
Customer Service. Storing your Key # or Combination will provide instant access to this important information should you
ever lose your keys or your combination.
Only you will have access to this information.
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:
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. 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 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
7
16
40543-1511