Lockbox Request Form

Online Lockbox Request

For the benefit of our members and to ensure the safety and security of our community, the PG|PC|NP Association of Realtors has taken the extraordinary step to provide secure electronic lockboxes to our members FREE OF CHARGE. Please use the form below to request a lockbox or change the information on file for an existing lockbox. PLEASE NOTE: All lockboxes are owned by the Association of Realtors. Should a lockbox be lost, stolen or damaged, the Agent who requested the lockbox is financially responsible for the FULL REPLACEMENT COST.

Are you requesting a NEW LOCKBOX or a change to an EXISTING LOCKBOX?*
- New Lockbox Request
- Change to an existing lockbox
Please note that if you would like to view electronic lockbox data and obtain showing notifications, you must register your new lockbox or change your existing lockbox data on SupraWEB at https://supraweb.suprakim.com YOU ARE RESPONSIBLE FOR MAINTAINING ACCURATE DATA ON SUPRA'S WEBSITE
Agent's Name*
FirstLast
Office Name*
Please provide the full name of the office where the Agent is located.
Contact Phone Number*
Please provide the best number to contact you should the Association Office have any questions.
Contact Email Address*
Please provide the best email address to contact you. You will receive a confirmation email once your request is submitted.
Lockbox Number / SN#*
Please enter the number that is found on the right-hand side of the box under the bar code. The number is found after the letters SN.
Address where the lockbox was PREVIOUSLY Located*
Street AddressCityStateZip Code
Fill this out ONLY if you are requesting a change to an existing lockbox. If you are requesting a new lockbox and you see this question, you need to go back to the top and select "New Lockbox Request"
OLD MLS Number*
Please indicate the MLS Number for the property where the box was PREVIOUSLY located. If you are reqesting a new lockbox and you see this question, you need to go back to the top and select "New Lockbox Request"
Address where the lockbox will be located.*
Street AddressCityStateZip Code
Please provide the full address where the lockbox will be located. Note that if you move this box to another listing, you must notify the Association.
MLS Number*
Please indicate the MLS number for the property where the box WILL BE located.
Special Request
Please indicate any questions or special requests that you may have. Note: The Association Staff will try to accommodate special requests if possible, but they are not guaranteed.
Confirmation*
- By checking this box, you agree to abide by the Association's terms and conditions of use and understand that should the lockbox be lost, stolen, or damaged, you are financially responsible to pay the full replacement cost of the box.

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