Common Contracts
3 similar Premium Protection Service Agreement contracts
Premium Protection Service AgreementPremium Protection Service Agreement • January 12th, 2015
CUSTOMER INFORMATION OWNER'S NAMETest Tester STREET ADDRESS111 Test St. CITY, STATE, ZIP CODELees Summit, MO 64086 TELEPHONE NUMBER(111) 222-3333 ALTERNATE PHONE NUMBER E-MAIL ADDRESStest@test.com VEHICLE INFORMATION VEHICLE IDENTIFICATION NUMBER1FTFX1EF3EFB39729 YEAR2014 MAKEFord MODELF150 AGREEMENT TERM EFFECTIVE DATE01/12/2015 SELECT A TERM□ 1 YEAR □ 2 YEARS □x 3 YEARS □ 4 YEARS □ 5 YEARS SALE TYPE□x RETAIL DELIVERY□ POST RETAIL AGREEMENT PURCHASE PRICE$189.00 DEALER INFORMATION NAME OF SELLING DEALERTEST DSD PROGRAM ADDRESS OF SELLING DEALER250 NE MULBERRY LEES SUMMIT, MO 64086 TELEPHONE NUMBER OF SELLING DEALER DEALER NUMBERD9000 SELLING DEALER SIGNATURE DATE01/12/2015 LIENHOLDER INFORMATION LIENHOLDER LIENHOLDER'S ADDRESS CUSTOMER ACKNOWLEDMENT CUSTOMER SIGNATURE DATE
Premium Protection Service AgreementPremium Protection Service Agreement • January 2nd, 2015
CUSTOMER INFORMATION OWNER'S NAMETest Tester STREET ADDRESS111 Test St. CITY, STATE, ZIP CODELees Summit, MO 64086 TELEPHONE NUMBER(111) 222-3333 ALTERNATE PHONE NUMBER E-MAIL ADDRESStest@test.com VEHICLE INFORMATION VEHICLE IDENTIFICATION NUMBER1C4PJMDS8EW211207 YEAR2014 MAKEJeep MODELCherokee Limited AGREEMENT TERM EFFECTIVE DATE01/02/2015 SELECT A TERM□ 1 YEAR □ 2 YEARS □ 3 YEARS □x 4 YEARS □ 5 YEARS SALE TYPE□x RETAIL DELIVERY□ POST RETAIL AGREEMENT PURCHASE PRICE$209.00 DEALER INFORMATION NAME OF SELLING DEALERTEST DSD PROGRAM ADDRESS OF SELLING DEALER250 NE MULBERRY LEES SUMMIT, MO 64086 TELEPHONE NUMBER OF SELLING DEALER DEALER NUMBERD9000 SELLING DEALER SIGNATURE DATE01/02/2015 LIENHOLDER INFORMATION LIENHOLDERBBT LIENHOLDER'S ADDRESS CUSTOMER ACKNOWLEDMENT CUSTOMER SIGNATURE DATE
Premium Protection Service AgreementPremium Protection Service Agreement • December 6th, 2013
CUSTOMER INFORMATION OWNER'S NAMEHoward Tester STREET ADDRESS444 Test St. CITY, STATE, ZIP CODELees Summit, MO 64086 TELEPHONE NUMBER4445552222 ALTERNATE PHONE NUMBER E-MAIL ADDRESSmarc.harris@mbpnetnork.com VEHICLE INFORMATION VEHICLE IDENTIFICATION NUMBER5XYKT4A23CG226698 YEAR2012 MAKEKia MODELSorento Base/Lx AGREEMENT TERM EFFECTIVE DATE12/06/2013 SELECT A TERM□ 1 YEAR □ 2 YEARS □ 3 YEARS □x 4 YEARS □ 5 YEARS SALE TYPE□ RETAIL DELIVERY□ POST RETAIL AGREEMENT PURCHASE PRICE$209.00 DEALER INFORMATION NAME OF SELLING DEALERMCCARTHY CHEVROLET INC ADDRESS OF SELLING DEALER675 N RAWHIDE OLATHE, KS 66061 TELEPHONE NUMBER OF SELLING DEALER DEALER NUMBERD0041 SELLING DEALER SIGNATURE DATE12/06/2013 LIENHOLDER INFORMATION LIENHOLDERN/A LIENHOLDER'S ADDRESS CUSTOMER ACKNOWLEDMENT CUSTOMER SIGNATURE DATE
