Installation guide

MAXIMUM INSURANCE DISCOUNT AUTHORIZATION
Dear
Insurance
Agent,
The
installation
of my
Code-Alarm automatic (passive) arming security system in the
vehicle
indicated
below qualifies
me for the maximum discount
mandated by law
in some states and by insurance company option
in
others. This
vehicle
security system
automatically
arms
itself after the doors are
closed
and
includes at
least
one engine
disabling relay
to prevent the engine from being started.
Insured Signature:
________________________
Name(pleaseprint):
_______________
_
Street Address:
__________________
State:
__________
Zip:
___________
_
Insurance
Company:
__________________________________________
_
Policy#:----------------------------------------------
Vehicle Year/Make/Model:
----------------------------------------
Vehicle Identification
#:
------------------------------------------
The signature below certifies that my Code-Alarm automotive security system was installed
on
____________
(date)
__
_
Installer
Signature:--------------------------------------------
Company:
____________________________________________
___
Address:
--------------------------------Telephone:
________
_
PLEASE COMPLETE AND
MAIL TO
YOUR
INSURANCE
COMPANY
1026673