Device Order Form
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Name of Person Ordering*
Contact Number*
Email Address*
Address of the Strata Company*
Strata Plan Number
Lot Number*
Pedestrian fob - please select
Remote - please select
Key - please select
Quantity required
Is this a new device order rather than lost or stolen?
Lost/Stolen Device?
If lost or stolen please advise reason for replacement.
Lost or stolen device number
Police Report Number (if stolen)
Method of Collection*
Collect from Summit Waikiki Office in person – ID is required upon collection
Collect from Building Manager (if applicable)
I would like my order to be posted to the address below
Address for delivery (if selected above)
If collecting, please advise name of person collecting. ID required for Summit Realty office collection.
By completing and submitting this form, you accept full responsibility and authorise all charges associated with this order to be billed to the Lot Owner’s account. You will receive an invoice by email for the payment of the access device (and other charges if applicable). Please note that the device will not be released until payment has been received in the Summit Realty account. Check the tick box below to proceed. *
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