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
other~.
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