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Date of Drive-Alert Installation: ______________________________________________________________________________________
Name of Installer and Installation Company: ___________________________________________________________________________
Phone number and email of Installer/Company: ________________________________________________________________________
Mier Product’s Drive-Alert Equipment Installed and Part Numbers: _________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Name/Contact Information of where the Mier Products’ Drive-Alert Equipment was purchased if different than Installation Company:
_______________________________________________________________________________________________________________
Other manufacturer’s and Accessories/Equipment Installed and Part Numbers: _______________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Name/Contact Information of where the other Equipment was purchased if different than Installation Company above:
_______________________________________________________________________________________________________________
Summary of Contents for Drive-Alert DA-700
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