Individual Register Form

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APPLICATION FORM : INDIVIDUAL

PRIMARY REGISTERED ACCESS- Date:
(ALL CORRESPONDENCE WILL BE SENT TO THE PRIMARY CONTACT)

SURNAME GIVEN NAMES
RESIDENTIAL ADDRESS STATE P/C
POSTAL ADDRESS STATE P/C
MOBILE: WORK: () HOME: ()
EMAIL ADDRESS
SECONDARY REGISTERED ACCESS
SURNAME GIVEN NAMES
RESIDENTIAL ADDRESS STATE P/C
POSTAL ADDRESS STATE P/C
MOBILE: WORK: () HOME: ()
EMAIL ADDRESS
SAFE DEPOSIT BOX REQUIRED SMALL MEDIUM LARGE EXTRA LARGE
(ALL SAFE DEPOSIT BOXES HAVE A WEIGHT CAPACITY OF 60KGS EACH)
INSURANCE
I WOULD LIKE TOTAL COVER OF $
BILLING PERIOD MONTHLY QUARTERLY SEMI-ANNUALLY ANNUALLY
(ALL MONTHLY ACCOUNTS MUST BE BY WAY OF DIRECT DEBIT) ****Initial billing period is 12 months

Acknowledgement and Signature of Customer, to be signed at the time of Registration

All Customers named in this application : -

I/We confirm that I/we have read and understood Guardian Vaults’ Terms and Conditions, a copy of which we have been given, and I/we agree to be bound by and observe at all times the provisions of this application and the Company Rules. I/we also acknowledge receipt of a security tag/s (FOBS) which I am/we are required to use for access purposes. I/we also acknowledge receipt of two keys.

 
Primary Registered Person   Secondary Registered Person
DATE:   DATE:


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