Remote Key Order Form

ATTENTION:
IN OUR CONTINUED EFFORT TO PROVIDE PROMPT KEY DELIVERY, SPRINTER KEY/LOCK ORDERS CAN NO LONGER BE SUBMITTED VIA THE STARPARTS KEY ORDER FORM. ALL ORDERS MUST NOW BE PLACED IN DEALERCONNECT VIA EXCHANGE ORDER ENTRY. YOU MAY STILL USE THIS FORM AS A REFERENCE SHEET ONLY, HOWEVER, EFFECTIVE IMMEDIATELY, ORDERS CANNOT BE SUBMITTED HERE.

NOTE: IF YOU REQUIRE A WSP/SKREEM MODULE (05135344AA- WITHOUT JPB SALES CODE ONLY), PLEASE CONTACT THE SPRINTER HOTLINE (866) 769-8092 (OPTION 2) FOR MANUAL PROCESSING. THANK YOU.

Sprinter Key Order Form

Remote Keys and Cylinder Locks

VIN#

Reference Only Part Numbers - These part numbers cannot be ordered through GPOP.

No

Part

Quantity

1

2

3

4

5

Ship To:			Bill To:
Dealer Code:			Dealer Code:
Dealer Name:			Dealer Name:
Street Address:			Street Address:
City:			City:
State:			State:
Zip:			Zip:
Contact Person:
Phone Number:
Email Address:

Note: Fill out form completely. Failure to complete all information for your order will only delay the processing. This form is for the parts listed above only. If you have technical or procedural questions please call: (866) 769-8092 option(2)