Letter of Authorization Attached:
SARGENT KEYED ORDER LEADSHEET
SYSTEM INFORMATION (Section 1 - 5)
Distributor Name: P.O. #:
Job Name:
End User: Name:
Address:
City: State: Zip:
(1) SYSTEM STATUS
o New (SARGENT generated) o Field Specified Bittings o Existing. Please complete one of the following:
Registry Number:
If New System complete System Design Section 2 TMK Bitting & Keyway:
Previous SARGENT Order #:
Field-Specified Bittings are attached? o Yes o No
(2) SYSTEM DESIGN (New Systems ONLY)- Select Level & Indicate Future Requirements
o Level 4 GGMK o Level 3 GMK o Level 2 MK
# GM Per GGM # MKS Per GMK # ChKys
# MK Per GMK # ChKys Per MK
# ChgKys Per MK
o 5-Pin System o 6-Pin System (Default) o 7-Pin System
Additonal Information (If Required)
o SubMaster Keying Level Required: See Keying Notes Attached
# of SubMaster Keys Per MK
# of ChKys Per SubMK
o SKD’s # of Different SKDs:
(3) SYSTEM TYPE
o Conventional (Sargent Std) o Degree o KESO o SFIC (Best) Check One Below
o A2 o A3 o A4
Note: Select Cylinder Features in Section 7 (Page 2)
(4) KEY WAY
Keyway Selection: SARGENT Manufacturing will assign keyways unless specified otherwise below.
o Customer Specified Keyway
Use of Restricted Keyways (A, B, G, V, K, N and 4B) have to be pre-approved by SARGENT Key Records.
(5) AUTHORIZATION
Signature/Degree/KESO/Restricted Keyway products requires Authorization
Degree/Signature ID Code: Zip Code (Signature Only):
Security/PIN Code:
Request Form Att’d For NEW Degree/Signature Code o Yes o No
Degree: o Yes o No
Signature: o Yes o No
KESO: o Yes o No
Restricted: o Yes o No
NOTE: Letter Of Authorization is required if order is not shipping direct to end user
SARGENT Manufacturing Company • 100 Sargent Drive • P.O. Box 9725 • New Haven, CT 06536-0915
Phone: 800-727-5477 • Fax: 888-863-5054 • Website: www.sargentlock.com
SARGENT of Canada • Phone: 905-940-2040 • Fax: 905-940-3242 • Website: www.sargentcanada.ca
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