Code Alarm CA 6551 Owner's Manual page 58

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State:
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Zip:
~ ~
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MAXIMUM INSURANCE DISCOUNT AUTHORIZATION
Dear Insurance Agent,
The installation of my Code-Alarm automatic (passive) arming security sys1em 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(~eaeprinQ:~~~~~~~~~~~~~~~~
Street Address:
Insurance
Co~pany:~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Policy#:
~
Vehicle Year/Make/Model: _
Vehicle Identification #:
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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