KeyBox Authorization Form  I authorize the person listed below to return my Supra iBoxes in exchange for a new BTLE Keybox (Bluetooth box) on a one-for-one basis at no cost. This form cannot be used for iBox boxes not physically present at the exchange.  In order for the new BTLE(s) to be assigned to my name in the KIM System, Supra must have the owner’s correct agent ID.  It is understood that if Supra does not receive this form at the time of the exchange, the agent returning the old keybox will not be allowed to exchange the ibox for the new BTLE box.  Boxes not registered with HAAR or assigned to that member will not be eligible for the exchange.  This form may not be used for keys. A Keyholder must pick up their key in person. Please print legibly

KeyBox Authorization Form  I authorize the person listed below to return my Supra iBoxes in exchange for a new BTLE Keybox (Bluetooth box) on a one-for-one basis at no cost. This form cannot be used for iBox boxes not physically present at the exchange.  In order for the new BTLE(s) to be assigned to my name in the KIM System, Supra must have the owner’s correct agent ID.  It is understood that if Supra does not receive this form at the time of the exchange, the agent returning the old keybox will not be allowed to exchange the ibox for the new BTLE box.  Boxes not registered with HAAR or assigned to that member will not be eligible for the exchange.  This form may not be used for keys. A Keyholder must pick up their key in person. Please print legibly