6730 Plan (Updated) - Laserfiche WebLink

Home Browse Search

NATIONAL VEHICLE SERVICE CONTRACT APPLICATION, TERMS & CONDITIONS (All Vehicles up to and including Transit and F 550 series) REGISTRATION INFORMATION Vehicle Identification Number 1 1 1 F I M I s iKI s i A I R I 9 1 F I G I C I 1 1 61 7 1 3 1 0 1 Internet Sale ~ I ffi L I NC O LN PROTECT Signature Date Warranty Start Date 12 /28 /20 15 03/25/2015 D CPO Current Hours* IPP Term I Current Mileage D Incomplete (Cab/Chassis) D Yes ~ No 2,987 D D D Limo/Livery Wrap Surcharges : D 12 Months/12 ,00 0 Miles D Turbocharger/Supercharger D Sno w pl ow ~ Commercial Use ~ Specialty -Emergency (Fire, Ambulance, Police pursuit units - exc ept Ford police Interceptor), Limo, Li v ery, Shuttle, To w Truck) D Component Wrap (Non-CPO) New Plan Coverage : Core -Po w ertramCARE, BaseCARE, ExtraCARE, PremiumCARE (Standard Deductible IS $ 100) LeaseCARE -New PremiumCARE w ith Wear Items on Ford and Lincoln vehicles -(Standard Deductible is $0 ) Rental Care -(RentaICARE-Standard Deductible is $0 ) Super Duty Coverages -(Diesel EngineCARE , Diesel EngineCARE Plus -Standard Deductible is $100) Used Plan Coverage: Core (Po w ertrainCARE , BaseCARE , ExtraC ARE , PremiumCARE -Standard Deductible is $ 100) PLAN COVERAGE ~ New Plan D Used Plan Plan Name A Deductible Plan Term Plan Expiration -(Earliest of all 3) Purchase Months Mileage Hours* Date Mileage Hours* Price PremiumCARE $0 60 1100 ,000 1 03 /25 /2020 1100,000 1 $ 2,495.00 Sales Tax Total Purchase Price with SalesTax $ 199 .60 $ 2,694.60 Options D First Day Rental Delete D Enhanced Rental D Interior/Exterior Lighting Delete Plan Name B Deductible Plan Term Plan Expiration -(Earliest of all 3) Purchase Sales Tax Total Purchase Price Months Mileage Hours* Date Mileage Hours* Price with SalesTax 1 1 1 1 $ $ $ Options D First Day Rental Delete D Enhanced Rental D Interior/Exterior Lighting Delete *Super Duty Coverages and Incomplete Vehicle Plan Coverages require Current Hours and I Total $ 2,495.00 $ 199.60 $ 2,694 .60 Expiration Hours for all vehicles with an hour meter. DISCLOSURE INFORMATION THE PURCHASE OF THIS AGREEMENT IS NOT REQUIRED IN ORDER TO PURCHASE, OR OBTAIN FINANCING FOR A MOTOR VEHICLE. YOU MAY PURCHASE THE SERVICE CONTRACT BY CASH OR UNSECURED CREDIT CARD. IF YOU ELECT TO PURCHASE THIS AGREEMENT, IT GIVES YOU SPECIFIC LEGAL RIGHTS, WHICH MAY VARY FROM STATE TO STATE. I acknowledge receipt of a complete copy of this Application and the Terms and Conditions (the "Entire Agreement") at the time of signing and agree to all the terms and conditions. I agree to maintain the covered v ehicle in accordance w ith the manufacturer's stated periodic maintenance recommendations as a condition of receiving coveraqe under this Aqreement except as otherwise prov ided by law. Mississippi Residents Only: By signing below, I agree to _ Washington Residents Only: By initialing this box, I acknowl edge I ha ve reviewed with Dealer the the binding arbitration language in the Mississippi Section. ~ction of this Service Contract titled, What This Agreement Covers and What is Not Covered, Your ' Responsibilities for Care of the Vehicle, Implied Warranty of Merchantitibility and Your and Our Rights to Cancel Agreement. Signature (not valid without Signature) II'" SERVICE CONTRACT HOLDER I PURCH ~ER .-- Signature (Not Valid without Signat1ui.j.re) ~ /""I, ~ Original Signed by : STEVE PANATIONI ~ " J ~ '.l1 ~ "./ L. -= ~ A ~-~k"'-;:;;::=~_--____ ---../ Name I L-" -V Address KITIITAS COUNTY City ELLENSBURG I State If'{ WA DEALERSHIP INFORMATION ) (' I Zip Code 98926 Dealership Signature,~ ! / ~\j Original Signed by: JENNIFE CASTLE, V . ~ 1 f\ .r--.. !'--/ i\.!~ '~, Dealer Name \\ V Columbia Ford, Inc. ~ Address 1 700-7th Avenue City Longview Zip Code 98632 Employee Stars Id Address 2 State WA Telephone No P&A Code ESP 8240-Nat App/Pravs (Oct 15) (Previous Editions May Not be Used) 307 W UMPTANUM ROAD E-mail Address Signature Date 12/28/2015 Service Contract Lienholder Name NA FOR OFFICE USE ONLY