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