816 CONGRESS GARAGE ACCESS

Document Sample
816 CONGRESS GARAGE ACCESS Powered By Docstoc
					                                         816
                                         
                                 CONGRESS
                           GARAGE ACCESS
                         CARD REQUEST FORM
NAME:

TENANT:

CARD NUMBER:

LICENSE PLATE # (S):

EFFECTIVE DATE:

CIRCLE ONE:

          NEW CARD                  CHANGE                        DELETION

ACCESS LEVEL:

           GARAGE ENTRANCE
           This card will allow access into the Parking Garage.

Forms received in the Management Office after 2:00 p.m. will not be
entered until the next business day.

AUTHORIZED SIGNATURE:

$25.00 + tax ($27.06) – NON-REFUNDABLE CHARGE FOR LOST, DAMAGED, OR
STOLEN CARDS. NO PERSONAL CHECKS ACCEPTED. THE FIRM WILL BE
BILLED ON THE NEXT MONTHLY STATEMENT.

                                OFFICE USE ONLY

  ENTERED BY:

  DATE ENTERED:

  CARD CHARGE:

COPIES SENT TO:

     SECURITY_____               816 CONGRESS ACCT._____            TENANT______