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