Customer Details	* Indicates Mandatory Fields
Name*
Street Address*
Address (cont.)
Suburb*
State*	ACT NSW NT QLD SA TAS VIC WA
Post Code*
Work Phone*
Mobile Phone*
After Hours Phone*
Email*
Date Of Birth*
Driver's Licence Number*
Expiry*
Occupation*
Alternate Contact Details
Alternate Contact*
Relationship to Primary Contact*
Phone*
Mobile*
Afterhours*
Code Word (This will be requested by security operations)*
Mothers Maiden Name (This will be requested if Codeword Forgotten)*
Vehicle Details
Make*
Model*
Year*
Type*	Sedan Ute Coupe Convertible 4WD Wagon Truck
Colour*
Registration Number*
VIN Number*
GPS Tracking Features Requested
GPS Lite Tracking & Adhoc Monitoring	Yes	$1895	Continuous real time tracking of the vehicle every 1km of travel. Positions sent when the ignition is turned on or off. Battery Disconnect Alert Battery Low Alert Includes Installation Includes 12 months monitoring annual fee thereafter is $396 (subject to change)
Monitored Dash Mounted SOS Button	No Yes	$80	Sends alert to IntelliTrac Response Centre (IRC) when pressed for 5 seconds.
Monitored Neck Pendant SOS Button	No Yes	$180	Sends alert to IRC when pressed for 1 second.
Monitored Towing Alert	No Yes	$120	Sends alert to IRC when vehicle is towed.
Connect to Existing Factory Alarm and Monitor	No Yes	$195*	Connects to the vehicle's existing factory alarm Sends Alarm alert to IRC when alarm sounds continuously for 10 seconds.
Supply and Install Integrated Alarm System and Monitor	No Yes	$595*	Sends Alarm alert to IRC when alarm sounds continuously for 10 seconds.
GPS Controlled Engine Immobiliser	No Yes	$90*	Allows IRC to remotely immobilise your vehicle when in motion
GPS Controlled Starter Immobilier	No Yes	$90*	Allows IRC to remotely prevent the vehicle from starting
GPS Controlled Door Unlock	No Yes	$120*	Allows IRC to remotely unlock your vehicle's doors
GPS Controlled Door Lock	No Yes	$120*	Allows IRC to remotely lock your vehicle's doors
User Login	No Yes	$240	Allows you to log in over the internet and track your vehicle
Patrol Officer Attendance	$165		Attending an Alarm Condition that is unable to be verified by yourself (the customer) or the alternate contact as defined in this form.
Tracking Fee If Vehicle Stolen	$88		Attending to Tracking and Liaising with Police or Security Guards to assist in the recovery of the vehicle.
Journey Download Fee	$55		Downloading Data from your GPS device and providing it to yourself  or police upon request.
	*Check for compatibility with your vehicle by calling IntelliTrac on 1300 767 492

   Any special comments you wish to add In the event that an alarm condition is received from my vehicle, and the vehicle remains stationary, and the IntelliTrac Response Centre are unable to contact me or my agent, I request that the Response Centre dispatch a Security Patrol or Police to verify the security of my vehicle. I understand that the provision of this service will be charged at the above rates to my credit card. I hereby acknowledge that I have requested the Alarm Responses listed above and ALL authorised operators will be aware of the listed security details. I also acknowledge that monitoring cannot commence prior to these details, as well as a signed Monitoring Services Agreement, being received at the IntelliTrac Monitoring Centre. IntelliTrac Monitoring should be advised whenever the vehicle is in the control of any third party

Terms and Conditions of Sale:- Please read carefully and acknowledge

IntelliTrac Monitoring Agreement BETWEEN IntelliTrac and the ‘Customer’ as identified on this Electronic Monitoring Agreement Form. 1.Interpretation. In the interpretation of the terms:- “Agreement” means this monitoring services agreement; “Alarm Condition” means any change in state of the GPS module from its resting state or disarmed state; “Monitoring Services” means the services selected by the customer on the Monitoring Services Order Form; “Emergency Services” means Police, Ambulance, Fire or other service provided by Third Parties in response to IntelliTrac’s request; “Asset” means any vehicle, motorcycle, plant & equipment or other asset such as building/structure in which IntelliTrac products are installed; “IntelliTrac” means, IntelliTrac Pty. Ltd. ABN 31-238-398-354; “IntelliTrac Product/s” means GPS AVL (Automatic Vehicle Location )products and services. “Novalarm Products” means vehicle antitheft alarms and immobilisers. “IntelliTrac Coverage Area” means the coverage area as defined by The communications service provider being Telstra, Optus or Vodafone from time to time; “Third Party Equipment” means any equipment supplied by a third party to be installed in the location and used in conjunction with IntelliTrac Products. 2.Installation and Use of IntelliTrac Products The Customer must use the IntelliTrac Products and Web services strictly in accordance any applicable laws relating to The Privacy Act and in accordance with The User Manual and will ensure that all other persons operating the products are familiar with the applicable laws relating to The Privacy Act and The User Manual and the operation of the products in particular the requirements in the case of an inadvertent or mistaken action creating excessive tracking requests. 2.1 The customer must use the IntelliTrac products strictly in accordance with the User Manual and will ensure that all other persons operating the products are familiar with the User Manual and the operation of the products in particular the requirements in the case of an inadvertent or mistaken action creating an alarm condition. 2.2 IntelliTrac approved installers will install the IntelliTrac and Novalarm products. The customer must not attempt or allow any third party to remove, modify or tamper with the IntelliTrac &/or Novalarm products without IntelliTrac’s prior written consent. IntelliTrac will in no way be liable for any damage caused to the Customer’s vehicle or locations or surrounds in the course of installing the IntelliTrac/Novalarm Products. The Customer’s rights for such damage lie against the installer and the customer indemnifies IntelliTrac in relation thereto. 2.3 The Customer must quote their security details to the relevant IntelliTrac agent or representative when requested. The Customer must not disclose their security details to any other person or record or leave the security details in such a place as to make the security details easily accessible to unauthorised persons. Security details are to be completed on the form provided with IntelliTrac Products. 3.Monitoring Services 3.1 In return for a monitoring fee, IntelliTrac will provide the monitoring services requested by the Customer, commencing on the date notified to the Customer by IntelliTrac. 3.2 The Customer acknowledges sole discretion to vary the monitoring fee from time to time. 3.3 Without limiting clause 7.1 where the monitoring and or hire purchase fee is not paid within (14) fourteen days of the due date outlined on the IntelliTrac tax invoice or Monitoring Agreement, IntelliTrac will have no further obligation or responsibility to provide the Monitoring Services. 4. Risk 4.1 The customer expressly acknowledges that due to circumstances often beyond the control of IntelliTrac, including (but not limited to) software viruses, power failure, electrical or topological interference, equipment malfunction and the actions and omissions by suppliers of telephone services, Police or Emergency Services or security patrol services, the Monitoring Services may not operate as designed. The Customer also acknowledges that IntelliTrac is not responsible for damages to the IntelliTrac/Novalarm Products or their failure to perform, as a result of any asset defect or asset incompatability, accident or vandalism. 4.2 The customer therefore understands and agrees that IntelliTrac will not be responsible for any performance, or failure, of the Monitoring Services and/or IntelliTrac/Novalarm Products, and any resulting loss or damage whether due to the circumstances envisaged in clause 4.1 or otherwise. 4.3 The Customer acknowledges that IntelliTrac is not responsible for malfunction of or failure to function by the Third Party Equipment or any damages caused as a result of such failure or malfunction. 5. Response Procedures 5.1 Where the Customer activates the personal duress button to create an Alarm Condition or any alarm condition is automatically generated, IntelliTrac will notify Emergency Services as appropriate. The Customer understands that IntelliTrac makes no representation or warranty as to the response or performance of the Emergency Services. 5.2 Where the Customer or any person creates an Alarm Condition by way of hoax, or when such activation was manifestly unnecessary, the Customer will be liable for all costs, expenses of any third party as a result of such activation. 5.3 The customer appoints IntelliTrac (and authorised representatives of IntelliTrac) as the Customer’s duly appointed Attorney to notify and confirm to the Emergency Services, following an Alarm Condition, that the vehicle has been stolen or that the security of the location has been breeched or that medical or fire services are required. 5.4 Nothing in this Agreement obligates IntelliTrac to monitor or respond at an alarm condition that is outside of the IntelliTrac Coverage Area. IntelliTrac may at its discretion expand the IntelliTrac Coverage Area. 6. Change of Ownership 6.1 The Customer must notify IntelliTrac where the Customer’s Asset is assigned, sold or leased to a third party. This agreement will terminate following entry by the third party into a new Monitoring Services Agreement with IntelliTrac, or otherwise in accordance with clause 7. 7. Termination 7.1 IntelliTrac may at any time by written notice terminate this Agreement. The Customer may terminate this agreement after the initial contract term by giving at least 30 days written notice to terminate this Agreement. Where the customer is in default or Customer terminates this Agreement, no entitlement to refund of monitoring fees will be payable. The customer must pay hire purchase fees and/or access charges as detailed in the agreement for the remaining portion of the Hire Purchase/Contract Term immediately. Where IntelliTrac terminates this agreement, a pro-rata portion of the monitoring fee for the monitoring period not yet expired will be refunded by IntelliTrac to the Customer. 8. Basis of Order 8.1 An Order by the Customer will only be binding if it is issued on the Monitoring Services Order Form, signed by the Customer. IntelliTrac retains the right at all times to accept or refuse an Order. 8.2 IntelliTrac will arrange delivery and installation of the IntelliTrac Products and any third party equipment as soon as is practically possible following acceptance of the order. 9 Prices and Payments 9.1 The prices payable for the IntelliTrac and/or Novalarm Products or third party equipment are quoted and amended from time to time. The validity of any quotation is 10 days unless otherwise specified in writing by IntelliTrac. 9.2 Where the Customer pays for IntelliTrac, Novalarm, Third Party Equipment, installation thereof and any monitoring or guard response services by continuing credit card instalment payments, the Customer acknowledges that IntelliTrac is authorised to deduct all due payments on the dates on which they are required to be made. 9.3 Where the Customer makes payments to IntelliTrac by way of credit card instalments, the Customer must immediately notify IntelliTrac of the loss or theft or expiry of the particular credit card. The Customer must notify in writing of replacement credit card details as soon as practically possible to that continuing credit card payments are not terminated. 9.4 Where a Customer wishes to stop any credit card instalment payments to IntelliTrac (after the initial contract period), the Customer must notify IntelliTrac in writing of such decision. 9.5 Payment of all IntelliTrac/Novalarm and/or third party equipment is due according to the terms and conditions as specified in this Hire Purchase and monitoring agreement. 9.6 Should the Customer default in any scheduled payment of this Hire Purchase and/or Monitoring Agreement, all monies due under the terms of this agreement will be due and payable immediately. 10. Warranty 10.1 IntelliTrac warrants that the products supplied in this agreement are free from defects and defaults and fit for the purpose for which they are intended as of the date of installation. 10.2 This warranty continues in force for a period of (12)Twelve months from the date of the initial installation of the products in the asset. If an authorised installer removes and refits the products during the warranty period in a new location then the warranty period will continue to run and the date of installation will be the date of installation in the first location nominated by the customer. 10.3 Subject to clause 10.4 IntelliTrac will repair or replace, at its absolute discretion, any defective IntelliTrac products or component parts during the warranty period at its own expense. 10.4 The IntelliTrac Warranty immediately becomes void if the Customer fails to comply with the User Manual operating instructions and information or the customer of any person not authorised by IntelliTrac attempts to service, repair, assemble, disassemble, tamper with or remove the IntelliTrac products (or components thereof) or ; the Customers location has been involved in an accident or materially damaged and the IntelliTrac products have not subsequently been tested or approved by a IntelliTrac authorised person. 10.5 The warranty does not apply to any third party equipment forming part of the order but IntelliTrac will endeavour to preserve and pass onto the Customer any Third Party warranty applicable to the third party equipment By answering YES below this agreement the Customer acknowledges that he or she has read, understood and agrees to be bound by these obligations.

Upon submission on this purchase order request, an IntelliTrac Customer Service Consultant will contact you to confirm the price and arrange for payment via credit card.

If you agree with the terms and conditions of sale please answer YES (type in capital letters)