HomeMy WebLinkAbout6730 Maint. planMAINTENANCE PLAN APPLICATION,
TERMS & CONDITIONS
NEW AND USED VEHICLES
REGISTRATION INFORMATION
® I s LINCOLN
PROTECT
Vehicle Identification Number ("VIN") (17 Digits)
Signature Date
Warranty Start Date
® Gas/Hybrid
1
I F
I M
1 5
1 K
1 8
1 A
I R
1 2
1 F
I G I C
I 1
1 fi
1 7
1 212/28/2015
9
Plan Options CP Incomplete Plans and Medium Duty)
Service Intervals
Service visits
❑ 3,000*
5,000 ❑ 7,500
❑ 10,000* 20
'Not available on PMP Plans.
*only service interval available for PMP Electric
03/25/2015
Internet Sale
Current Mileage
❑ Diesel
❑ Yes ® No
3124
❑ Electric
Surcharges F—]12 Month/12,000 Miles(PMP Only- Not applicable for CPO)
El CPO
❑ Snow Plow (PMP Only- Not applicable for PMP E, PMP L, PMP BL or CPO)
❑Incomplete
® Spedalty-Emergency (fire,ambulance,all poiice), Ilmo, livery,shuttle, tow trucks-
(Gas/H rid, Diesel and Lincoln Premium Maintenance Plans Onl )
❑Medium Duty
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0 Dc, Diesel, Lincoln, tSiacK Label, Incomplete (Cab/Chassis), Medium Duty, CPO -
(Standard $eductible)
LIMITED, BASIC AND ENGINE MAINTENANCE PLANS: Gas/Hybrid and Diesel- (Standard $0 Deductible)
For Premium Maintenance Plans (PMP) coverage BEGINS at the New Vehicle Limited Warranty Start Date and Zero Miles. Coverage
ENDS at THE EARLIER OF the Number of Years Purchased, the Number of Miles Purchased or upon completion of the Maximum Number
of Service Intervals Purchased from the New Vehicle Limited Warranty Start Date or Zero Miles.
For LIMITED, BASIC AND ENGINE Maintenance Plans coverage BEGINS at the Signature Date and Current Mileage. Coverage ENDS at
THE EARLIER OF the Number of Years Purchased, the Number of Miles Purchased or upon completion of the Maximum Number of Service
Intervals Purchased from the Signature Date or Current Mileage.
PLAN COVERAGE
Plan Name
Plan Term
Months Mileage
Plan Expiration (Earlier of)
Date Mileage
9
Purchase Price
I
Sales Tax
Total Purchase
Price with Sales Tax
Premium Maintenance
Zip Code
98632
72
100000
03/2512021
100000
$ 2,480.00
$ 198,40
$ 2,678.40
Premium Maintenance
Plan Options
❑First Day Rental (Not available on lncom leteor
P
Maintenance
❑ Full Synthetic Oil(Notavailable on Lincoln, Black Label, Electric,
Medium Du Plans)
4'
Plan Options CP Incomplete Plans and Medium Duty)
Service Intervals
Service visits
❑ 3,000*
5,000 ❑ 7,500
❑ 10,000* 20
'Not available on PMP Plans.
*only service interval available for PMP Electric
DISCLOSURE INFORMATION
NOTE: THE PURCHASE OF THIS MAINTENANCE PLAN IS NOT REQUIRED IN ORDER TO PURCHASE, OR OBTAIN FINANCING FOR A
'MOTOR VEHICLE.
I acknowledge receipt of a complete copy of this Maintenance Plan (the Application, Terms and Conditions constitute the 'Entire Maintenance
Plan') at the time of signing and agree to all the terms and conditions. I agree to maintain the covered vehicle in accordance with the
manufacturer's stated periodic maintenance recommendations as a condition of receiving coverage under this Maintenance Plan except as
otherwise provided by law.
MAINTENANCE PLAN/PURCHASER
Signature (Not Valid without Signatr
Original Signed by: STEVE PANATTONI
KITi1TAS COUNTY
307 W UMPTANUM ROAD
12/28/2015
�1, ... rman nooress Maintenance Plan Lienholder Name
ELLENSBURG wA 98926 NA
DEALERSHIP INFORMATION
Dealership Signature
Original Signed by: JENNIFER CASTLE
FOR OFFICE USE ONLY
Dealer Name
Columbia Ford, Inc.
Address
700 -7th Avenue
Address
City
Longview
State
WA
Zip Code
98632
Telephone No
Employee Stars Id
P&A Code
0 8 6 0 2
0 D 2 1 5 4 9 9 6
ESP 8324- MNTC (Oct 15) (Previous Editions May Not be Used)