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

Last Name

First Name

Residing Floor & Building

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

Reason for Activation New MemberReplacement

Outgoing Member

Phone

Email

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. (Refundable within 6 weeks of leaving the floor)
• The user will be responsible for the use and ownership of the access device.