Please download and fill out the following form, print it and include it with your key when returning it:

http://www.zemax.com/downloads/keyexchangeform.doc

Alternately, you can print out this page and type in the required information,  or just use a separate piece of paper. 

KEY EXCHANGE FORM

(Enclose this completed form with your key.)

*Key Serial Number (see above)

 

*End User’s Name

 

*Company Name

 

*End User’s Address

(If PO Box, please provide physical address in the section below)

 

 

(Address Line 2 – if needed)

 

 

*End User’s City

 

*End User’s State or Country

 

*End User’s Zip or Postal Code

 

*End User’s Telephone Number

 

*End User’s Email Address

 

Tax ID No. (* required for Brazil)

  

*Is there a different shipping address for your new key?

YES:  fill in the fields below

NO:  leave the below fields blank

Contact Name

 

Company Name

 

Physical Address (No PO Boxes please)

 

(Address Line 2 – if needed)

 

City

 

State or Country

 

Zip or Postal Code

 

Telephone Number

 

Email Address

 


*Asterisk denotes required fields.  If the end user information provided on this form doesn’t match our database, we will contact you for an explanation.  This could cause a delay in shipping your new key to you.  If you have recently changed your address or contact information, please notify us in advance of shipping your key.  Note:  FedEx will not ship to a PO Box. Someone must sign for your new key; FedEx will not deliver without a signature.  FedEx will email the tracking number to you when the new key ships from our office.