REQUEST FOR A SERVICE CALL

 
 
Company Name
 
 
Contact Person
 
 
Phone Number
 
 
Email Address
 
 
Street Address
 
 
City, State, Zip
 
 
 
  CHANGE LOCK REQUEST  
 
Replace the locks on your present door?
YES       NO
 
Please choose your key type (see key chart to the right).




 
Please list any numbers and/or letters on your keys or locks.
 
 
  DOOR SERVICE CALL  
 
METAL DOOR      WOOD DOOR      GLASS DOOR
 
 
Replace your entire door?
YES       NO
 
 
Individual items needed for present door:

Please check off all items that need repair or replacement (see door reference chart to the right).


2-DOOR VIEWER
3-DOOR HINGE
4-DEAD BOLT
5- KEY CYLINDER
6-CYLINDRICAL LOCK
7-MORTISE LOCK
8-RIM EXIT DEVICE
9-VERTICAL EXIT DEVICE
10-KICK PLATE
11-KICK DOWN DOOR STOP
12-DOOR SWEEP
ALUM. DOOR DEADBOLT
ALUM. DEADLATCH
ALUM. PUSH PADDLE
OTHER



 
 

Please list any additional comments.
 
 
 
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