OF82.95-P-3000-04A | Modification application for replacing control modules for TELE AID, form |
MODEL 203, 208, 210, 215, 220 with CODE (855) TELE AID
Branch/Agency company no. Customer
Vehicle ident no. Repair order no.
Tester: Name Date
License plate no. Original registration date Model Engine no. Odometer reading: km/miles
Modification application for replacing control modules for TELE AID
(This form does not apply when owner changes!)
In the event of control module replacement and if the TELE AID service is maintained program control module for TELE AID service after installing new control module with SIM card.
Moreover, it is necessary to authorize the control module.For this purpose fill out bottom fields and send modification application to the CAC.
The fax number of the CAC is:00 31-4 33 56 23 13
Data for SIM card
Card number __ __ __ __ __ __ __ __ __ __ __ __ __ - __
GSM number 017__ / __ __ __ __ __ __ __
Authorization date __ __.__ __.__ __ (day, month, year)
Stamp of dealer and signature
Name of employee