Please complete the form below, once submitted Counsel’s Chambers Limited will be able activate your proximity card or tag.

Last Name

First Name

Residing Floor & Building

Attached Floor & Building (leave blank if same as residing floor)

Phone

Email

Licensee or Reader? LicenseeReader

Type of access card Proximity CardProximity Key Tag

Notes

Please note the following:

• The proximity card or tag that is issued is the property of Counsel’s Chambers Limited.
• The card will provide after hours access into the building and onto all floors of Selborne & Wentworth Chambers and Lockhart Chambers.
• The cost to replace a card or tag that has been lost, stolen or damaged due to misuse is $50 + GST.
• A $55 deposit is necessary, and must be made by cash, cheque or credit card.
• The deposit will be refunded upon the return of the access device.
• The user will be responsible for the use and ownership of the access device.