– 53 –
OWNER'S INSURANCE PREMIUM CREDIT REQUEST
This form should be completed and forwarded to your homeowner's insurance carrier for possible premium credit.
A. GENERAL INFORMATION:
Insured's Name and Address:
Insurance Company:
Policy No.:
ADEMCO
APX32
______________________________________ Other
Type of Alarm: Burglary
Fire
Both
Installed by:
Serviced by:
Name
Name
Address
Address
B. NOTIFIES (Insert B = Burglary, F = Fire)
Local Sounding Device
Police Dept.
Fire Dept.
Central Station Name:_______________________________________________________________________________
Address:
Phone:
C. POWERED BY:
A.C. With Rechargeable Power Supply
D. TESTING:
Quarterly
Monthly
Weekly
Other
(continued on other side)
Содержание APX32
Страница 4: ...4...
Страница 59: ...59 NOTES...
Страница 60: ...60 NOTES...
Страница 61: ...61 NOTES...
Страница 62: ...62 NOTES...
Страница 63: ...63...
Страница 64: ...5132 North 300 West Provo Utah 84604 800 216 5232 www apxalarm com K14115 3I K14115 3 11 06 Rev A...