Company Information

Company Name Billing Address
Phone Billing Address 2
Fax City
Email State
EIN/SS# Zip

Who is authorized to use this account?

List the names and numbers of all individuals permitted to use this account for billing.

Full Name     Phone
Full Name     Phone
Full Name     Phone
Full Name     Phone

Customer Preference Form

Keys

How would you like to receive key copies?

  • Leave 2 keys at property.
  • Leave 1 key at property and mail 1 key to my address. *
  • Mail 2 keys to my billing address. *
  • I have a key cut to code. No need to leave or mail keys.
  • Other

*Additional fees may apply.

Key Codes

Does you company use a specific key code you would like us to use when rekeying your properties?

  • Yes
  • No.

Damaged Locks

Would you like us to fix the locks at your properties? At times this may require us to replace hardware.

  • Always fix or replace broken locks to secure property.
  • Call for approval before fixing or replacing locks to secure property.
  • Do not bother with fixing hardware; and do not call.
  • Other

Overhead Garage Doors

Would you like us to rekey the overhead door at your properties? This may require replacing the cylinder.

  • Never rekey overhead doors at my properties.
  • Rekey overhead doors at my properties except when they have an opener.
  • Rekey overhead doors at my properties even if they have an opener.
  • Other

Invoicing

Would you like us to email, fax, or mail you the invoice/receipt? Feel free to choose more than one.

  • Email Invoices To:
  • Fax Invoices To:
  • Mail invoices To:

Additional preferences regarding our services.

Add your additional preferences here

Terms Agreement.

Payment is due before the 15th of the following month for all invoices received by the end of the previous month. A $25 fee will be added to late payments.

I understand and agree to the above terms and conditions, and am authorized to order work on behalf of the above company and/or person.

Your Full Name Title

Billing Agreement & Preference Form

Home owners trust Absolute Locksmith

Payment is due before the 15th of the following month for all invoices received by the end of the previous month. A $25 fee will be added to late payments.

accepted credit cards

We accept cash, check, or credit card.