* Indicates a mandatory field
Name *
Organisation *
Position *
Phone *
Email *
Please select the type of facility *
Hall name
Community leased/Sport & Rec Facility name
Key or lock?
Type of Key/Lock required
Quantity required
Description of the area secured by the key/lock (e.g main office)
Reason (e.g. lost/stolen/new hirer)
Name on cards
Quantity required
Description of the area secured by the card (e.g. entire building)
Reason (e.g. new committee, new hirer)
Name on card/s
Card number/s
Temporary/permanent request
Reason
Date to deactivate
Date to reactivate
Name on card/s
Card number/s
Change required
Description of area card is to access
Temporary/permanent request
Reason
Date to change
Any additional comments
    I acknowledge I have read, understood and agree to the outlined conditions:
  • Do not share or give your key to any organisation member (apart from your organisation’s committee when requested) or contractor.
  • Keys must be kept in a safe and secure location.
  • Lost keys must be reported to your organisation and council immediately.
  • The receiver may be charged the relevant cost which will be payable directly to the locksmith upon collection.
  • You will be notified once the key/lock/card is available for collection