De-installation / Re-installation form

De-installation / Re-installation form

Trekit365 Reg No:2017/009089/07
TRACKING UNIT DE-INSTALLATION / RE-INSTALLATION FORM
Personal Information
First NameLast Name
ID Number / Passport Number*
Phone Number*
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
De-installation Terms and Payment

Please read the terms below
Please note that de-installation of a tracking unit from vehicle A does not mean cancellation therefore the contract still binds for the same tracking units and should be paid on a monthly basis as stipulated on the contract. The tracking unit will remain under your account but will be showing offline waiting to be re-installed in vehicle B. There is a once off fee for de-installation. Note that de-installation is charged for but installation will be free.
Selection option below:
prevnext( X )
Both cars are at the same placeSelect this option if both cars are going to be at the same place.
450.00ZAR

Both cars at different locationsSelect this option if both cars are not going to be at the same place.
650.00ZAR

Total

0.00ZAR
De-Installation Vehicle A Details
Make*
Model*
Engine Number*
Vin Number*
Year
Car Color
License Plate Number*
Re-Installation Vehicle B Details
Make
Model
Engine Number
Vin Number
Year
Car Color
License Plate Number
Client Acknowledgement

By signing this Agreement you accept that you have read, understood and agree to be bound by the contents, including the Terms and Conditions on the back of this Subscriber Application Form.
I have read, understood and i agree to the terms and conditions. *
Client's Signature*

Clear
Date Signed

MonthDayYear
Date
Should be Empty:

De-installation / Re-installation form

Personal Information

De-installation Terms and Payment

De-Installation Vehicle A Details

Re-Installation Vehicle B Details

Client Acknowledgement