Monaco LaPalma User manual

LAPALMA
• 2004
Warranty
General Information
Driving & Safety
Exterior & Interior Care
Appliances
Equipment
Water Systems
LP-Gas System
Electrical Systems
Under Hood
Index


WARRANTY LIMITED - 2004 LAPALMA . . . . . . . . . . . . . . . . . . . . . . . .
LIMITATIONS OF IMPLIED WARRANTIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
WHAT THE WARRANTY COVERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
WHAT WE WILL DO TO CORRECT PROBLEMS . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOW TO GET SERVICE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
WHAT THE WARRANTY DOES NOT COVER . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
EVENTS DISCHARGING WARRANTOR FROM OBLIGATION UNDER WARRANTY . .
DISCLAIMER OF CONSEQUENTIAL & INCIDENTAL DAMAGES . . . . . . . . . . . . . . . .
LEGAL REMEDIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
WARRANTY INFORMATION FILE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
WOOD FINISH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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2004 LaPalma - Warranty


5
Warranty
2004 • LaPalma
MONACO MOTORHOME LIMITED WARRANTY
What the period of coverage is:
If you use your Monaco® motorhome only for recreational
travel and family camping purposes, the Limited Warranty provided by
Monaco ("Warrantor") covers your new motorhome when sold by an
authorized dealer, for twelve (12) months from the original retail purchase
date or the first 24,000 miles of use, whichever occurs first. However, the
Limited Warranty provided by Warrantor covers the steel or aluminum frame
structure of the sidewalls (excluding slide outs), roof, and rear and front
walls for sixty (60) months from the original retail purchase date or the first
50,000 miles of use, whichever occurs first.
If you use your motorhome for any rental, commercial or business
purposes whatsoever, the Limited Warranty provided by Warrantor covers
your new motorhome when sold by an authorized dealer for ninety (90) days
from the original retail purchase date or the first 24,000 miles of use,
whichever occurs first. In addition, the Limited Warranty provided by
Warrantor covers the steel or aluminum frame structure of the sidewalls
(excluding slide outs), roof, and rear and front walls for twelve (12) months
from the original retail purchase date or the first 24,000 miles of use,
whichever occurs first. A conclusive presumption that your motorhome has
been used for commercial and/or business purposes arises if you have filed a
federal or state tax form claiming any business tax benefit related to your
ownership of the motorhome.
The above Limited Warranty coverage applies to all owners, including
subsequent owners, of the motorhome. However, a subsequent owner must
submit a warranty transfer form by filing the form through an authorized
Monaco dealer. A subsequent owner's warranty coverage period is the
remaining balance of the warranty coverage period the prior owner was
entitled to under this Limited Warranty. Warranty transfer forms can be
obtained by contacting the Customer Relations Department. There is no
charge for the transfer.
WARRANTY
LIMITED
- 2004 LaPalma

62004 • LaPalma
Warranty
ANY IMPLIED WARRANTIES ARISING BY WAY OF STATE
LAW, INCLUDING ANY IMPLIED WARRANTY OF
MERCHANTABILITY AND ANY IMPLIED WARRANTY OF FIT-
NESS FOR A PARTICULAR PURPOSE, ARE LIMITED IN
DURATION TO THE TERM OF THIS LIMITED WARRANTY AND
ARE LIMITED IN SCOPE OF COVERAGE TO THOSE PORTIONS
OF THE MOTORHOME COVERED BY THIS LIMITED
WARRANTY. Warrantor disclaims all implied and express warranties,
including the implied warranty of merchantability and the implied warranty
of fitness for a particular purpose, on components and appliances excluded
from coverage as set forth below. There is no warranty of any nature made
by Warrantor beyond that contained in this Limited Warranty. No person has
authority to enlarge, amend or modify this Limited Warranty. The dealer is
not the Warrantor's agent but is an independent entity. Warrantor is not
responsible for any undertaking, representation or warranty made by any
dealer or other person beyond those expressly set forth in this Limited
Warranty. Some states do not allow limitations on how long an implied
warranty lasts, so the above limitation may not apply to you.
Warrantor's Limited Warranty covers defects in the manufacture of your
motorhome and defects in materials used to manufacture your motorhome.
Also see the section "What the Warranty Does Not Cover" set out below.
Warrantor will repair and/or replace, at its option, any covered defect if:
(1) you notify Warrantor or one of its authorized servicing dealers of the
defect within the warranty coverage period and within five (5) days of
discovering the defect; and (2) you deliver your Motorhome to Warrantor or
Warrantor's authorized servicing dealer at your cost and expense. It is
reasonable to expect some service items to occur during the warranty period.
The performance of warranty repairs shall not extend the original warranty
coverage period. Further, any performance of repairs after the warranty
coverage period has expired or any performance of repairs to component
parts and appliances excluded from coverage shall be considered "good will"
repairs, which shall not alter the express terms of this limited warranty.
Warrantor may use new and/or remanufactured parts and/or components
of substantially equal quality to complete any repair.
Limitations of
Implied Warranties
What the Warranty
Covers
What We Will Do to
Correct Problems

7
Warranty
2004 • LaPalma
Defects and/or damage to interior and exterior surfaces, trim, upholstery
and other appearance items may occur at the factory during manufacture,
during delivery of the motorhome to the selling dealer or on the selling dealer's
lot. Normally, any such defect or damage is detected and corrected at the
factory or by the selling dealer during the inspection process performed by the
Warrantor and the selling dealer. If, however, you discover any such defect or
damage when you take delivery of the motorhome, you must notify your dealer
or Warrantor within five days of the date of purchase to have repairs performed
to the defect at no cost to you as provided by this Limited Warranty.
If either three or more unsuccessful repair attempts have been made to
correct any covered defect that you believe substantially impairs the value, use
or safety of your motorhome or repairs to any covered defect(s), which you
believe substantially impairs the value, use or safety of your motorhome, have
taken 30 or more days to complete, you must, to the extent permitted by law,
notify Warrantor directly in writing of the failure to successfully repair the
defect(s) so that Warrantor can become directly involved in exercising a final
repair attempt for the purpose of performing a successful repair to the
identified defect(s).
The Warranty Registration form must be returned to Warrantor promptly
upon purchase to assure proper part replacement and repair of your
motorhome. Failure to return the warranty registration form will not affect your
rights under the Limited Warranty so long as you can furnish proof of
purchase. For warranty service simply contact one of Warrantor's authorized
service centers for an appointment, then deliver your motorhome (at your
expense) to the service center. If you need assistance in locating an authorized
warranty service facility contact:
Warrantor's Warranty Department
1-877-466-6226
91320 Coburg Industrial Way
Coburg, Oregon 97408.
In the event the motorhome is inoperative due to malfunction of a
warranted part, Warrantor will pay the cost of having the motorhome towed to
the nearest authorized repair facility provided you notify Warrantor prior to
incurring the towing charges to receive directions to the nearest repair facility.
Because Warrantor does not control the scheduling of service work by its
authorized servicing dealers, you may encounter some delay in scheduling
and/or in the completion of the repairs.
How to Get Service

82004 • LaPalma
Warranty
This Limited Warranty does not cover: any motorhome sold or registered
outside of the United States or Canada; items which are added or changed
after the motorhome leaves Warrantor's possession; items that are working as
designed but which you are unhappy with because of the design; normal
wear and usage, such as fading or discoloration of fabrics, or the effects of
condensation inside the motorhome; defacing, scratching, dents and chips on
any surface or fabric of the motorhome, not caused by Warrantor; routine
maintenance, including by way of example wheel alignments; the automotive
chassis and power train, including, by way of example the engine, drivetrain,
steering and handling, braking, wheel balance, muffler, tires, tubes, batteries
and gauges; appliances and components covered by their own manufacturer's
warranty including, by way of example the microwave, refrigerator, ice
maker, stove, oven, generator, roof air conditioners, hydraulic jacks, VCR,
television(s), water heater, furnace, stereo, radio, compact disc player,
washer, dryer, inverter and cellular phone; or flaking, peeling and chips or
other defects or damage in or to the exterior or finish caused by rocks or
other road hazards, the environment including airborne pollutants, salt, tree
sap and hail.
Misuse or neglect, accidents, unauthorized alteration, failure to provide
reasonable and necessary maintenance (See Owner's Manual), damage
caused by off road use, collision, fire, theft, vandalism, explosions,
overloading in excess of rated capacities, and odometer tampering shall
discharge Warrantor from any express or implied warranty obligation to
repair any resulting defect.
THE ORIGINAL PURCHASER OF THE MOTORHOME AND
ANY PERSON TO WHOM THE MOTORHOME IS TRANSFERRED,
AND ANY PERSON WHO IS AN INTENDED OR UNINTENDED
USER OR BENEFICIARY OF THE MOTORHOME , SHALL NOT BE
ENTITLED TO RECOVER FROM WARRANTOR ANY
CONSEQUENTIAL OR INCIDENTAL DAMAGES RESULTING
FROM ANY DEFECT IN THE MOTORHOME . THE EXCLUSION
OF CONSEQUENTIAL AND INCIDENTAL DAMAGES SHALL BE
DEEMED INDEPENDENT OF, AND SHALL SURVIVE, ANY
FAILURE OF THE ESSENTIAL PURPOSE OF ANY LIMITED
REMEDY. Some states do not allow the exclusion or limitation of
consequential or incidental damages, so the above exclusions may not apply
to you.
What the Warranty
Does Not Cover
Events Discharging
Warrantor from
Obligation Under
Warranty
Disclaimer of
Consequential &
Incidental Damages

9
Warranty
2004 • LaPalma
THESE WARRANTIES ARE NOT INTENDED TO "EXTEND TO
FUTURE PERFORMANCE" AND ANY ACTION TO ENFORCE
THESE EXPRESS OR ANY IMPLIED WARRANTY SHALL NOT BE
COMMENCED MORE THAN NINETY (90) DAYS AFTER THE
EXPIRATION OF THE RESPECTIVE WARRANTY COVERAGE
PERIOD DESIGNATED ABOVE. THE PERFORMANCE OF
REPAIRS SHALL NOT SUSPEND THIS NINETY (90) DAY
LIMITATIONS PERIOD FROM EXPIRING. THESE TERMS AND
ALL EXPRESS AND IMPLIED WARRANTY DISPUTES BETWEEN
WARRANTOR AND PURCHASER SHALL BE GOVERNED BY THE
SUBSTANTIVE LAWS OF THE STATE OF INDIANA, WITHOUT
REGARD TO CONFLICTS OF LAW RULES. Some states do not allow
the reduction in the statute of limitations or a choice of law provision, so the
above reduction in the statute of limitations and/or choice of law provision
may not apply to you.
THIS WARRANTY GIVES YOU SPECIFIC LEGAL RIGHTS. YOU
MAY ALSO HAVE OTHER RIGHTS, WHICH VARY FROM STATE
TO STATE. 51903
Legal Remedies

10 2004 • LaPalma
Warranty
In addition to this Owner’s Manual you will find a Warranty Information
File in your unit. This file contains valuable documents about your
motorhome’s systems and equipment. Many of the component
manufacturer’s warranty registration cards can be found in the box. They will
need to be filled out and mailed. Be sure you read and understand all the
information in this file to help you safely operate, maintain and troubleshoot
those items.
Monaco Coach Corporation Wood Finish:
Because no two trees look alike, authentic woods vary in color and
character markings such as streaks, knots and grain patterns. Since the stains
may attach differently to these grain patterns,some natural light and dark
areas may result. The beauty lies in these natural variations of color and
grain that give each cabinet its own individual charm.
The beauty of these products is protected with a furniture-quality exterior
finish. After a period of time, there may be minimal changes in the finish
color as it ages in its surrounding conditions. This is an inherent
characteristic of this particular finish, and the natural aging process adds to
the unique appearance of the cabinetry. Due to the minor differences in tone,
it may not be possible to match the finish color of existing cabinets exactly
when replacing doors or adding additional cabinets at a later date.
Monaco Coach Corporation
The foregoing is not a warning. See the Limited Warranty or call
(877) 466-6226 for warranty information and limitations.
WOOD FINISH
WARRANTY
INFORMATION
FILE

2004 LaPalma - General Information
SAFETY SYMBOL LEGEND............................................13
INTRODUCTION ............................................................14
CUSTOMER RELATIONS................................................15
REPORTING SAFETY DEFECTS .....................................15
TAKING DELIVERY ........................................................15
Monaco Coach Responsibilities ...............................15
Dealer Responsibilities.............................................16
Customer Responsibilities .......................................16
SERVICE SUGGESTIONS...............................................16
Prepare for the Appointment ....................................17
Prepare a List..........................................................17
Be Reasonable With Your Requests .........................17
No Looking Over the Technician’s Shoulder .............17
Inspect the Work Properly........................................17
OWNER’S RECORD - SERIAL NUMBERS ......................18
OWNER’S RECORD - PERSONAL PROPERTY................19
OWNER’S RECORD - INSURANCE.................................20
GLOSSARY OF TERMS..................................................21
VENDOR LIST ...............................................................24
SURVEY........................................................................27
WARRANTY TRANSFER APPLICATION..........................29

Product information and specifications are shown herein as of the time of printing.
The motorhome manufacturer reserves the right to change product specifications, designs
and standard equipment without notice and without incurring obligation.
©Copyright Monaco Coach Corporation. All rights reserved. The LaPalma is a trademark of
Monaco Coach. All other trademarks or registered trademarks are property of their respective hold-
ers. Brand name products of other companies mentioned in this manual are not endorsed by the
manufacturer of the motorhome.
The information contained in this document is intended to reflect standard and
optional equipment included in a typically equipped model at the time of delivery
to the initial retail owner. Your actual unit may vary from this document as a result
of optional equipment that is not generally offered on this model. In the case that
you are not the initial retail owner of this unit, this document will not reflect
modifications that may have been performed by previous owners.
03303

1 • 13
General Information
2004 • LaPalma
Indicates a WARNING. Information pertaining to personal safety and/or potential
extensive damage to the motorhome.
Indicates a CAUTION. Information pertaining to potential damage to the motorhome
and/or its components.
Indicates electrical DANGER. Information pertaining to danger or caution of potential
electrical shock to person(s) or component(s), and/or risk of electrical fire to motorhome.
Indicates FLAMMABLE or EXPLOSIVE. Information concerning fire or explosive
material pertaining to personal safety and/or protection of the motorhome and its
components.
Indicates POISON. Information pertaining to safety and/or use of a poisonous substance
or harmful chemical.
Indicates a NOTE. Information and reminders concerning operation of motorhome
and/or components.
Indicates INSPECT. Inspection of the motorhome and/or its components is
required. Additional instruction may follow.
Indicates LUBE. Lubrication, or addition of lubricant product, to the motorhome and/or a
specified component or part is required. Additional instruction may follow.
Indicates ASSEMBLE/REPAIR. Assembly, disassembly or installation of a component or
part, and/or repair to the motorhome may be required. Assistance of Technical Support
or Technician may be necessary.
Indicates INFO (Information). References to additional information regarding operation
of the motorhome and/or its components found in additional sources other than the
Owner’s Manual. Also refers to the WARRANTY INFORMATION FILE, found within
the Warranty Information Box inside the motorhome.
Indicates a TIP. Information regarding helpful hints and/or suggestion for ease of
operation of the motorhome and/or its components.
SAFETY SYMBOL LEGEND

1 • 14 2004 • LaPalma
General Information
This section contains warranty information and knowledge for the
operation and care of the motorhome. Not all information may be applicable
to your model of motorhome. More detailed information with CAUTION or
WARNING instructions, other than what is found in this chapter, can be
found in the manufacturer's owner manuals located in the owner information
box.
Changes, additions and supplemental information in the form of Manual
Addendums can be obtained by visiting our Website at
www.monacocoach.com. Select one of the products from the product
lineup. Go to the Service menu. A submenu will appear. Browse our other
product lines Technical Tips. These Tips may not completely apply to your
particular model but information contained therein can be useful.
In time you will develop a knack for spotting wonderful little roadside
locations by turning off the main highway and exploring. There are many
modern recreational vehicle parks (including state, county and federal parks)
with good facilities where you can obtain hook-ups for electrical, water and
sewage connections. Directories are published which describe these parks
and the availability of services and hook-ups. On overnight or weekend trips,
chances are you will probably not fill up the sewage holding tanks, deplete
the water or LP-Gas supply, or run down the batteries which supply the
living area with 12 Volt DC current. On longer trips, when you have stayed
where sewer connections and utility hook-ups were not available, it will be
necessary to occasionally empty the holding tanks and replenish the water
and LP-Gas supply.
Many gas stations have installed sanitary dumping stations. Publications
are available which list these dumping stations. When stopped for the night,
the motorhome is built to be safely parked in any spot that is relatively level
and where the ground is firm. Try to pick as level a parking spot as possible.
Your facilities are with you and the motorhome is fully self-contained.
Many of the safety alert symbols are "Personal Safety Instructions."
Definitions for the symbols are located on a previous page under "Safety
Symbol Legend." It is important to thoroughly read and understand these
safety instructions where the symbols are displayed throughout the manual.
Failure to comply with specific instructions may result in personal injury or
death. Many instructions are required by National Safety Associations.
INTRODUCTION

1 • 15
General Information
2004 • LaPalma
Only by ensuring your confidence and satisfaction with our products and
services can we have continued success as a manufacturer of motorhomes.
We believe a good relationship with our customers is just as important as
improving the technical excellence of our products. Your authorized dealer is
pleased to help you with instructions about your motorhome and to offer
service when you need it. If problems remain after you have consulted your
dealer you are invited to contact our Customer Service Department. Please
have all pertinent information (serial numbers, model number, etc.) when
calling. We will work with the dealer and see that every attempt to resolve
the matter is made.
Customer Service Department
91320 Coburg Industrial Way
Coburg, OR 97408
877-466-6226
If you believe that your motorhome has a defect which could cause a
crash or could cause injury or death, you should immediately inform the
National Highway Traffic Safety Administration (NHTSA) in addition to
notifying Monaco Coach. If NHTSA receives similar complaints, it may
open an investigation, and if it finds that a safety defect exists in a group of
motorhomes, it may order a recall or remedy campaign. However, NHTSA
cannot become involved in individual problems between you, your dealer or
Monaco Coach. To contact NHTSA you may either call the Auto Safety Hot
line toll-free at 1-800-424-9393 (or 1-202-366-0123 in the Washington D.C.
area) or write to:
NHTSA
U.S. Department of Transportation
400 Seventh Street
Washington, DC 20590
Your motorhome has been manufactured to the highest quality and
standards by factory trained personnel. Quality inspections are performed
throughout the manufacturing process of your motorhome. The motorhome
has been carefully and almost completely hand assembled in our factory.
Prior to the motorhome arriving at the dealership, all systems have been
carefully tested and inspected to ensure optimum performance. The necessary
forms and required manuals have been placed in the motorhome at the time
of shipment to the dealership.
CUSTOMER
RELATIONS
REPORTING
SAFETY DEFECTS
TAKING DELIVERY
Monaco Coach
Responsibilities

1 • 16 2004 • LaPalma
General Information
The dealer must perform additional pre-delivery inspections and system
checks, assist in the customer’s understanding of the Limited Warranty and
assist in completing any necessary forms. They must do a customer
orientation to the motorhome, its systems, components and their operation.
The dealer should also ensure the customer receives a complete Owner’s
Packet with warranty cards and registrations for the motorhome and for
separately warranted products, including detailed operating and maintenance
instructions. The dealer is responsible for performing a review of the Limited
Warranty provisions with the customer, while stressing the importance of
mailing warranty cards and registrations to the manufacturers within the
prescribed time limit to avoid loss of warranty coverage. They must assist the
customer in completing these forms and locating serial numbers. They should
request that the customer read all warranty information when possible and
explain any provision not clearly understood.
The dealer should instruct the customer on how to obtain local and
out-of-town service on the motorhome and its various individual warranted
components, whether the service is warrantable or out of warranty.
As a new motorhome owner you are responsible for regular and proper
maintenance. This will help you prevent conditions arising from neglect that
are not covered by your Monaco Rambler Limited Warranty. Maintenance
services should be performed in accordance with this Owner’s Manual, and
any other applicable manuals. As the owner, it is your responsibility and
obligation to return the motorhome to an authorized dealer for repairs and
service (see the Limited Warranty). Since the authorized dealer where you
purchased your new motorhome is responsible for its proper servicing before
delivery, and has an interest in your continued satisfaction, we recommend
that Inspection, Warranty and Maintenance Services be performed by the
dealership. We suggest that you take your new motorhome on a weekend
shakedown before leaving on an extended trip.
Know when to take your motorhome in for service. Give some thought to
the appointment time. There are several things to consider when selecting a
time for service. Location of the service center and the time of year can be a
major issue. Monday and Friday are busy days for most dealers. Therefore, it
makes sense to make a mid-week appointment whenever possible. Ask your
dealer if additional time is needed for check in and completion of paperwork.
Dealer
Responsibilities
Customer
Responsibilities
SERVICE
SUGGESTIONS

1 • 17
General Information
2004 • LaPalma
If you are having warranty work done, be sure to have your warranty
registration papers with you. All work to be performed may not be covered
by the warranty; be sure to discuss additional charges with the service
manager. Keep a maintenance log of your motorhome service history. This
can often provide a clue to the current problem.
Make a written list of specific repairs needed. It is important the service
manager be aware of all previous work which has been done on your
motorhome. For example: if the motorhome has been repaired due to an
accident. While this may not seem important, it could have a significant
effect on the dealer’s diagnosis of a problem.
Don’t leave a list of 20 items to be serviced and expect to have the
motorhome back by 5:00 p.m. If you list a number of items, and must have
your motorhome back by the end of the day, discuss the situation with the
service manager and list items in order of priority. Some items may not be
able to be repaired due to work loads or parts availability. Expect to make a
second appointment for work not completed or for the long, drawn-out repair
item.
Please don’t be offended when you are told you cannot watch the work
being done. Many service area insurance requirements forbid the admission
of customers into the service work area.
Check out the service or repair job when you pick up your motorhome
and notify the service manager of any dissatisfaction. If circumstances
prevent returning for immediate corrective work, make an appointment as
soon as possible.
.
Prepare for the
Appointment
Prepare a List
No Looking Over
the Technician’s
Shoulder
Be Reasonable With
Your Requests
Inspect the Work
Properly

1 • 18 2004 • LaPalma
General Information
FOR YOUR OWN REFERENCE
OWNER’S RECORD - SERIAL NUMBERS
INFORMATION: Many of the serial numbers for various items and components are filed
on the Data Card located in the Warranty Information File box. Refer to the Manufacturer’s
individual Owner’s Manuals for serial number locations that are not listed below.
Motorhome Serial Number ____________________________________________________________
Motorhome Federal Vehicle Identification Number (VIN) ____________________________________
Entry Door Key Number ______________________________________________________________
Compartment Door Key Number_______________________________________________________
Cooktop/Range Model & Serial Number _________________________________________________
(Located under top burner plate)
Microwave Model & Serial Number______________________________________________________
(Located behind door on case)
Refrigerator Model & Serial Number ____________________________________________________
(Located inside refrigerator compartment)
Generator Model & Serial Number_______________________________________________________
(Located in outside compartment on generator)
Roof Air Conditioner(s) Model & Serial Number__________________________________________
(Located under top cover on air conditioner)_______________________________________________
Inverter Model & Serial Number________________________________________________________
FOR YOUR OWN REFERENCE

1 • 19
General Information
2004 • LaPalma
for your own reference
OWNER’S RECORD - PERSONAL PROPERTY
Item Serial Number Value
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FOR YOUR OWN REFERENCE

1 • 20 2004 • LaPalma
General Information
OWNER’S RECORD - INSURANCE
Company: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Policy #:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_________________________________________________________________
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Agent’s Name & Address:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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Business Phone #:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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Emergency Phone #:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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Renewal Date(s):_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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Notes:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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FOR YOUR OWN REFERENCE
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