You are on page 1of 1

Master Lock Bluetooth Smart Padlock Activation Code Request Form

I, _______________________, being duly sworn, say I am the owner of the Master Lock
(Print Name)
Bluetooth Smart padlock with the Lock/Device ID _____________________.
(Lock/Device ID Number)

• NOTE: You must attach a photocopy of the back of the Bluetooth Smart padlock, clearly showing the Lock/Device ID
with this form!

Please send the Activation Code to:


__________________________________________________________
(Name)

__________________________________________________________
(Address)

__________________________________________________________
(City, State/Province, ZIP)

___________________________________________________________ _________________________________________
(E-Mail Address) (Signature)

Notary Public to complete portion below:

STATE OF ____________________________, COUNTY OF __________________________

Sworn to and subscribed before me this ___________ day of _______________, 20____.

My commission expires on:

__________________________________________ __________________________________________
(Notary Public)

You might also like