Gatekeeper Ltd.

Gatekeeper Work Order

Please include the motor/control board, and the cover. Do not include the base chain etc. If it has been more than 1 year since the purchase of your Gatekeeper unit, then there will be repair charges.

First Name:
 Last Name:
Street Address:
Town/City:
State/Province:
Postal/Zip Code:
 Country:
Email Address:
Phone:
 Fax:
Product:
 Original purchase date:
Company item was purchased from:

Problem description / Notes:

Please check any that apply:
 Urgent
 Contact customer before charges
 In-Warranty repair (within 12 months of purchase date)
 Overstock / Refurbish
 Advance Ship Replacement Item (Must Specify Payement Method, Deposit Will be Charged)

 
Payment Method:  
Name on Card:
 Billing Address:
Billing City:
 State/Province:
Postal Code/Zip:
Card#:
 Exp Date:  CVV:

 

  

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