Application Form
Please provide your details below. Then either 1)
click the grey 'Submit' button at the bottom of this page or 2) print
off this page from your Web browser and mail it to us (no stamp required).
You can get our Freepost address here.
The standard charge for each Keysback keyfob is £10.00,
with a minimum initial charge of £30.00 (minimum 3 fobs). This provides cover for 5 years.
Promotional and volume discounts may apply. VAT will be added to all amounts. Please
click 'Terms and Conditions' if you require detailed information.
We contact you by telephone or email to confirm your order
and contact details before sending your Keysback fobs to you. There
is no financial obligation until you positively confirm your order with
us. All payments are also subject to our 90-day money back guarantee.