INDEMNITY AGREEMENT
FOR DUPLICATE/REPLACEMENT/MASTER KEYS

*

*
*
*

*

*

*
*
*

*

Payment Method: You must either upload a PO for the purpose of billing or provide credit card information to process at time of order

** For credit card payment, please visit www.kirkkey.com/credit-card-order.
Once your online process is complete, provide the following information:

It is the responsibility of the purchasing company and/or end-user to apply administrative controls for the proper issuance and use of duplicate keys for there intended purpose. By signing this release you are agreeing to and in acceptance of all liability and responsibility for any event resulting in death, injury, equipment or property damage or linedown situations associated with your and/or any third party’s misuse or unintended use, installation, repair, modification, or any other act or omission relating to duplicate keys provided by Kirk Key Interlock Company LLC, or Castell Safety International and agree to defend, indemnify and hold harmless Kirk Key Interlock Company LLC and Castell Safety International from all claims, demands, and lawsuits including associated fees and costs incurred in connection with the foregoing.

Key Style
Qty Duplicate Key Code
Key Interchange
KIRK Only
(Optional)
Sales Order#
KIRK Only
(Optional)

End User (Name & Address)










[signature* usersignature cols:420 rows:100 class:sign_class]