Purchase Date: ___________________________ Invoice _____________________
BENEFICIARY
Name: __________________________________
C.I.:_________________________
Vehicle's Trademark: _______________________
Model: ____________________________
Vehicle's Plate: ___________________________
STAMP AND SIGNATURE OF THE DISTRIBUTOR THAT INSTALLED THE SYSTEM
ST
1
Date ___________________________________________________________
Observations____________________________________________________
Stamp: __________________________________________________________
nd
2
Date ____________________________________________________________
Observations ____________________________________________________
Stamp: __________________________________________________________
rd
3
Date_____________________________________________________________
Observations ___________________________________________________
Stamp _________________________________________________________
42
Genius Car Alarm
TECHNICAL REVISION
www.geniuscaralarm.com
Color: ___________________