Owner's Manual

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State:
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Zip: _
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.
InsuredSignature:~~~~~~~~~~~~~~~~~~~~~~~Na~e(~e~eprinQ:~~~~~~~~~~~~~~~
Street Address:
InsuranceCo~pany:~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~_
Policy#: _
Vehicle Year/Make/Model:
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_
Vehicle Identification
#:
_
The
signature below certifies that
~y
Code-Alar~
auto~otive
security
syste~
was
installed
on
~
(date)---
Installer Signature:
~
_
Co~pany:
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~
__
~
_
Address:
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Telephone: _
PLEASE COMPLETE AND MAIL
TO
YOUR INSURANCE COMPANY
1026673