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PENDER UNITED METHODIST CHURCH

MAGNETIC ACCESS CARD APPLICATION / AUTHORIZATION
I _______________________________________________________________________________________
Representing _____________________________________________________________________________
Apply  for  magnetic  card  key  _____________  to  operate  Pender  United  Methodist  Church’s  computer  security  
locks. By accepting the card, I pledge to do the following to maintain security at the church facility:
1) Always keep total control of the card in my personal possession. If I no longer need the card, I will
return it to the church administrator. I agree to NOT pass on this card key to anyone else.
2) I will not write on the card.
3) I agree to pay a $5 deposit for the card which will be refunded to me when I turn in the card. I will
report loss of the card immediately to the church office. I agree that I will forfeit the $5 if I lose the
card.
I have been personally briefed on the use of the church security system and how to unlock and secure it.
APPLICANT’S  SIGNATURE  ______________________________________________DATE  ____________
ADDRESS & PHONE NUMBERS ___________________________________________________________
_____________________________________________Home__________________Cell _________________
APPROVED BY ________________________________________________________DATE_____________