Common Contracts
1 similar Service Agreement contracts
SERVICE AGREEMENTService Agreement • August 30th, 2024
PURCHASER INFORMATION NAME PHONE EMAIL ADDRESS MAILING ADDRESS CITY STATE ZIP CODE SELLER INFORMATION SELLER NAME PHONE EMAIL ADDRESS MAILING ADDRESS CITY STATE ZIP CODE VEHICLE INFORMATION YEAR MAKE MODEL CONTRACT NUMBER CURRENT ODOMETER READING VIN # (MUST BE 17 DIGITS) SERVICE AGREEMENT INFORMATION SALE DATE MONTHLY AGREEMENT PRICE COVERAGEAmberCare Premium DEDUCTIBLE$100.00 / $250.00 THIS SERVICE AGREEMENT REQUIRES A MANDATORY 25-DAY WAITING PERIOD FROM THE INITIAL PAYMENT DATE BEFORE COVERAGE TAKES EFFECT, UNLESS WAIVED BY AMBER. WAITING PERIOD WAIVED: □ YES □ NO APPLICANT’S ACKNOWLEDGMENT The undersigned purchaser of this Agreement has read the entire Agreement. The Declarations Section identifies the Coverage selected. The specific components covered are identified in the Coverage Section. FOR REQUIREMENTS AND/OR DISCLOSURES THAT APPLY SPECIFICALLY TO YOU, PLEASE REVIEW THE SPECIAL STATE REQUIREMENTS SECTION OF THIS AGREEMENT. SPECIAL STATE REQUIREMENTS SUPERCEDE ANY AND ALL APP
