AutoCode

Key Codes Access Application Brooklyn, NY

11230

Please print the document, sign the fields marked with red arrows, and fax it to (855) 258-9014 or
email it to support@autocode.us .

If for some reason you cannot fax or scan the document please contact us at support@autocode.us .

All the information provided will be verified and we will send you an email confirmation after your
background check has been completed and all documents have been processed.

Please allow up to 6 business days for approval. After the approval you will be emailed a username and
password for the app and website.

 
COMPANY NAME (pp336859)
COMPANY

INFORMATION
Lion

ADDRESS CITY STATE ZIP

No(16),153 street,Yangon,myanmar Yangon MN 11211

OFFICE PHONE CELL PHONE FAX

+959443268782 +959969773116 1

EMAIL ADDRESS TAX ID # LOCKSMITH LICENSE

zoommobiser@gmail.com 1 1
 
OWNER NAME DRIVER’S LICENSE & STATE
1
Pyae Phyo Khant 1-1

 
 Company Owner - Please print and sign next to each red arrow, and fill out the information next to each blue
arrow:

  DATE  
INITIALS
The key codes and information I receive are for use within the stated company and will
TERMS &
May 8th, not be sold or given to anyone outside of my company.
CONDITIONS 2020

DATE  
INITIALS
I will use the information I receive from AutoCode Inc in a lawful manner.
May 8th,
2020

 
DATE
INITIALS
I hereby agree to absolve, defend, indemnify and hold harmless: the owners,
May 8th, management, employees, subcontractors, and affiliates of AutoCode Inc from any
2020 and all claims arising from the authorized or unauthorized use of the requested,
specified and acknowledged services described herein.

DATE
INITIALS I declare that I am requesting vehicle information on behalf of my customer and I will
May 8th, examine their driver’s license and either title or registration to prove they are the vehicle
2020 owner.

DATE  
INITIALS
I will not retain any codes obtained from AutoCode Inc after services are completed.
May 8th,
2020

DATE  
INITIALS
I understand that a violation of this agreement will terminate my business relationship
May 8th,
2020 with AutoCode Inc.

 
I am acknowledging and giving permission to AutoCodeto run a background check on myself, my company and any
individuals associated with the accessing of key code information. I do solemnly swear, affirm, and promise under
criminal penalty of a felony for fraudulent use of a false or fictitious name or address or for making a false material
statement punishable by fines of up to $10,000 or by imprisonment of up to five years, or both, that the statements
contained herein are true and accurate. A violation of any part of this agreement will cause the termination of
business relations with AutoCode. I understand that phone conversations with AutoCode may be recorded for security
purposes.
PRINT NAME

Pyae Phyo Khant

SIGNATURE DATE

May 8th, 2020

 
 Employer & Employee Statement (after you print, fill out the information next to the blue arrow and sign next
to the red arrow)

 
COMPANY NAME
COMPANY

INFORMATION
Lion

ADDRESS CITY STATE ZIP

No(16),153 street,Yangon,myanmar Yangon MN 11211

 
As the employer, I hereby agree to oversee and take responsibility for the proper use of any key codes given to my company.
PRINT NAME

Pyae Phyo Khant

SIGNATURE DATE

May 8th, 2020

 
 
EMPLOYEE INFO EMPLOYEE NAME

Pyae Phyo Khant

PHONE DRIVER’S LICENSE & STATE LOCKSMITH LICENSE

+959443268782 1-1 1
 

Employee - Please print and sign next to each red arrow, and fill out the information next to each blue arrow:

  DATE  
INITIALS
The key codes and information I receive are for use within the stated company and will
May 8th, not be sold or given to anyone outside of my company.
 TERMS & 2020
CONDITIONS
DATE  
INITIALS
I will use the information I receive from AutoCode in a lawful manner.
May 8th,
2020

 
DATE
INITIALS
I hereby agree to absolve, defend, indemnify and hold harmless: the owners,
May 8th, management, employees, subcontractors, and affiliates of AutoCode from any and all
2020 claims arising from the authorized or unauthorized use of the requested, specified and
acknowledged services described herein.

DATE
INITIALS I declare that I am requesting vehicle information on behalf of my customer and I will
May 8th, examine their driver’s license and either title or registration to prove they are the vehicle
2020 owner.

DATE  
INITIALS
I will not retain any codes obtained from AutoCode after services are completed.
May 8th,
2020

DATE  
INITIALS
I understand that a violation of this agreement will terminate my business relationship
May 8th,
2020 with AutoCode.

 
I am acknowledging and giving permission to AutoCode Incto run a background check on myself, my company and any
individuals associated with the accessing of key code information. I do solemnly swear, affirm, and promise under
criminal penalty of a felony for fraudulent use of a false or fictitious name or address or for making a false material
statement punishable by fines of up to $10,000 or by imprisonment of up to five years, or both, that the statements
contained herein are true and accurate. A violation of any part of this agreement will cause the termination of
business relations with AutoCode. I understand that phone conversations with AutoCode Inc may be recorded for
security purposes.
PRINT NAME

Pyae Phyo Khant

SIGNATURE DATE

May 8th, 2020

 
Trade References:
 
 
COMPANY NAME CONTACT NAME PHONE ACCOUNT #
TRADE

REFERENCES
Key king
 ADDRESS CITY STATE ZIP DATE ACCT ESTABLISHED

No(15),33 street,taunggyi Taunggyi MN //

COMPANY NAME CONTACT NAME PHONE ACCOUNT #

ADDRESS CITY STATE ZIP DATE ACCT ESTABLISHED

//

COMPANY NAME CONTACT NAME PHONE ACCOUNT #

ADDRESS CITY STATE ZIP DATE ACCT ESTABLISHED

//

Credit Card Authorization:

   
AUTHORIZATION I hereby authorize AutoCode Inc to automatically charge the credit card ending with 5931 as
needed for every code generated by the AutoCode service. A detailed statement will follow
via email or fax number provided. I also agree to abide by the conditions set forth in the card
issuer’s agreement.
In the event of litigation relating to the subject matter of this Agreement, the non-prevailing
party shall reimburse the prevailing party for all reasonable attorney fees and costs

SIGNATURE PRINT NAME DATE

Pyae Phyo Khant May 8th,

2020