Ekey Downgrade / Upgrade / Cancell - Fob Exchange Form
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1STAFF USE ONLY:
Loca on: ____________________________
eKey UPGRADE/DOWNGRADE/CANCEL
Date processed in SupraNET:_____________
— FOB Exchange
Staff name:____________________________
Must be completed by staff person
Member# or License#: _______________
Member Name: ___________________________________________
FIRM Name: ____________________________________________________ Firm#: ________________________
Cancel eKey Services: Keyholder may be due a refund* prepaid fees provided member is in good standing
eKey Serial #
Software license is inactivated upon Cancellation
FOB is DEFECTIVE: Replacement issued under warranty if returned within one year from initial purchase.
FOB is Lost/Stolen/Damaged: replacement FOBS that are lost, stolen, or damaged must be purchased at the then
current price.
Change Service Level:
Upgrade
Downgrade
Current Service
New Service
dKey—Enter Serial #
dKey - Returned serial #
Returned Cradle#
Enter Cradle#
eKey Basic—Enter Serial #
eKey basic - Enter Serial #
eKey Pro—Enter Serial #
eKey Pro - Enter Serial #
Already Has FOB Purchasing FOB
FOB’s are required for eKey Service. Separate payment is required.
Upgrading service level requires payment of prorated annual fee for that service level less credit for prepaid fees at current
service level with no addi onal deposit or setup fee. Next annual billing will be at upgraded service rate. Keycard user fees run
from July 01 ‐ June 30. eKey professional users must prepay annual differen al and complete an auto debit agreement for
monthly fees beginning on next annual service year.
Upgrade service amount due: ___________________________
Downgrading service from eKey Pro requires payment of prorated annual fee for the new service level (using next month's
prora on, as the current month is prepaid with no credit due).
TOTAL AMOUNT DUE AT SIGNING: $___________________________________________________
Paid by: Check # ______________________ Cash
Visa
MC
Discover
AMEX
Credit Card # ___________________________________ Exp Date: __/__ Billing Zip Code: ________
Note: ________________________________________________________________________________________
Member Signature :_____________________________________________ Date: __________________________
Keyholder Address for refund (if applicable): ______________________________________________________
Refund Approved
Accounting Use Only:
Process by: ________________________
Change Bill Type to: __________________
*All refunds are subject to
Amount of Refund: __________________
Amount of Refund: __________________
verification by accounting.
Date: ______________________________
Allow 4-6 weeks for delivery.
Processed: by: ______________________
GL Code: __________________________
Date:______________________________
Vendor Code:_______________________
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