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reception@cre.scot

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Care & Repair Edinburgh

Affordable DIY and repairs for older and disabled residents

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Order a key safe

Are you the person requiring the key safe to be fitted in your home? * REQUIRED
- Yes
- No
Do you have permission from the person requiring the key safe to order on their behalf? * REQUIRED
- Yes
- No
You must have the permission of the person requiring the key safe to place an order
Name of person ordering service on behalf of someone else * REQUIRED
First Last
What is your relationship to the person requiring the key safe? * REQUIRED
- Relative
- Friend
- Occupational Therapist or other professional
Designation/Organisation * REQUIRED
Address
Street Address City Postcode Country
Telephone number (person ordering the service) * REQUIRED
Email (person ordering the service)
Are you the person paying for the key safe? * REQUIRED
- Yes
- No
Client details:
Name of person requiring the key safe * REQUIRED
First Last
Address where the key safe is to be fitted * REQUIRED
Street Address City Postcode
Telephone number of the person requiring the key safe * REQUIRED
Date of birth of the person requiring the key safe - must be dd/mm/yyyy format * REQUIRED
Date Format: DD slash MM slash YYYY
Residential status of the person requiring the key safe * REQUIRED
- Homeowner
- Housing Association tenant
- Private tenant
Date of hospital discharge (if relevant) - must be dd/mm/yyyy format
Date Format: DD slash MM slash YYYY
Instructions for fitter * REQUIRED
(please tell us anything that would help the fitter such as Location where Keysafe to be fitted, is it a flat or house, colour of door, fitting surface, permission from Landlord/owner granted etc.)
Payment
Name of the person paying for the key safe * REQUIRED
First Last
Organisation (if applicable)
Address of the person paying for the key safe * REQUIRED
Street Address City ZIP / Postal Code Country
Phone number of the person paying for the key safe * REQUIRED
Email address of the person paying for the key safe
Please select the type of key safe you would like to order * REQUIRED
- New C500 Police approved Key safe (£85.00)
- Reconditioned C500 Police approved Key safe (£65.00)
- S7 Key safe (slightly larger) (£85.00)
- Temporary/portable key safe fitted (£65.00)
- Temporary/portable key safe (collect from office) (£45.00)
- Have own key safe fitted
Payment method * REQUIRED
Key safes should where possible be paid for prior to fitting. Bacs is our preferred method of payment.
- Pay by Bacs
- Pay by PayPal
Is the person requiring the key safe currently in receipt of Pension Credit?
- Yes
- No
- Don't know
Purchase Order number (if relevant)
If you are making payment by Bacs please use the following details:
Account number: xxxxxxxx
Sort code: xx-xx-xx
If you are making payment by Paypal you will be taken to the payment screen on clicking 'Place order'
Total to pay
£ 0.00
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Registered address: Causewayside House, 160 Causewayside Edinburgh EH9 1PR.
Company No. SC 158690. Registered Charity SC 023790.

Registered Charity SC023790

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