Allegion Schlage D Series, Manual

Page: 103 / 573

Primus
©
face sheet
Level 3, 4, and 9 order authorization
This original form must be mailed to Schlage Commercial Division with your order.
Faxed copies not acceptable
Distributor information only:
Distributor name Date
Account # Distributor PO#
Primus security level:
3U (no exclusivity) 4Z (time zone exclusivity)
3G (2-digit zip exclusivity) 4N (nationwide exclusivity)
Classic keyways
9U (no exclusivity) 9Z (time zone exclusivity)
9G (2-digit zip exclusivity) 9N (nationwide exclusivity)
Everest
®
/Everest 29™ keyways
New
If new, complete project information and attach Primus’ signature card (Schlage form 009160).
Project name (please print or type)
Street (no P.O. Box) City State Zip
Existing
If existing please indicate Primus #_____________________ (From Primus I.D. Card)
Name and phone# of individual who is knowledgeable about this project, should any clarification be necessary:
Name Phone
Shipping instructions:
It is the policy of Schlage Commercial to ship Level 3, 4, and 9 products directly to the end user/owner to maximize control and security
of your Primus cylinders and keys. Be sure that the shipping address provided below includes the name of the specific individual in your
organization to whom Primus cylinders and keys should be shipped. Schlage will ship to alternate locations, if so instructions, with the
understanding that the undersigned assumes full responsibility for the security and care of the material to be so shipped. Unless otherwise
specified below, Level 3, 4, and 9 products will be shipped to the original end user/owner address on file.
Masterkeys may be whipped to a separate location if desired, at not extra charge. If all keys are to be packed and shipped separately, there is
an additional charge in accordance with Schlage PKI (Pack Keys Independently) pricing as listed in Schlage’s current price book.
Order shipping address:
Location Name
Attention
Street (no P.O. Box)
City State Zip
Change key only shipping address:
Location Name
Attention
Street (no P.O. Box)
City State Zip
Master key only shipping address:
Location Name
Attention
Street (no P.O. Box)
City State Zip
All keys shipping address:
Location Name
Attention
Street (no P.O. Box)
City State Zip
Signature block:
I hereby authorize the above Schlage distributor to order material for the Primus system specified above and I certify that I am the
owner, or authorized agent of the owner of the Primus High Security Cylinder system specified above and I am authorized to place
this order.
Authorized Signature Date