SELF-SUPPLIED KEY WAIVER | Car-Tek Locksmith

Self-Supplied Key

(Only to be filled out when prompted by Car-Tek Locksmith Ltd)

First name

Last name

Phone

Service Date

Year

Month

Day

Vehicle Year, Make and Model

Do you confirm that the vehicle key(s) you are bringing to Car-Tek Locksmith for Cutting/Programming are ones that you purchased independently?

No

Yes

Do you confirm that Car-Tek Locksmith LTD will NOT warranty the key you are bringing in?

No

Yes

I declare that the info I’ve provided is accurate and complete.

Signature

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