GUNNEBO CANADA INC TELEPHONE (604) 2911725 FAX (604) 2912452

Fire Department Lock Box Order Form

Gunnebo Canada Inc.

Telephone: (604) 291-1725 Fax: (604) 291-2452

***NOTE: TAKES APPROV 15 DAYS TO SHIP BOX***

Order Date:			Deliver to Billing Address
Please note: with out a pre-established account, all orders are C.O.D.			Deliver to Jobsite

Billing Address
Company Name
Street Address
City & Postal Code
Telephone #
Contact Name
Purchase order

Address of Installation (Jobsite)
Company Name
Street Address
City & Postal Code
Telephone #
Contact Name

Quantity	Type of F.D. Key Lock Box	Delivery
	Steel Lock Box (4”H x 4”W x 3 ¼”D) OR Abloy Key Deposit (1 ½” Diameter x 5” Depth)	Cost/Item $ 175.00 S & H $ 40.50 P.S.T $ 15.09 G.S.T. $ 10.78 Total $ 241.37


Quantity	F.D. Operations Manual Box	Delivery
	Operations Manual Box (17”H x 10 ¼”W x 3 ¾”D)	Cost/Item $ 178.00 S & H $ 40.50 P.S.T. $ 15.29 G.S.T. $ 10.93 Total $ 244.72

*S & H = Shipping & handling of F.D. lock box lid to appropriate Fire Dept to ensure the security of the box.

Prices effective April 1, 2013