Gatekeeper Ltd.

Gatekeeper Work Order

Please ship only the part that needs to be repaired, i.e. actuator, control box etc. Do not return brackets, remotes or other accessories, but do include the keys. 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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