THE VIKING PROTECTION PLANService Agreement • April 5th, 2019
Contract Type FiledApril 5th, 2019SERVICE AGREEMENT HOLDER INFORMATION FIRST NAME LAST NAME MI TELEPHONE NUMBER ADDRESS CITY STATE ZIP CODE UNIT DESCRIPTION TRAVEL TRAILER/FIFTH WHEEL POP-UP/SLIDE-IN CAMPER TOY HAULER YEAR MAKE MODEL ORIGINAL OWNER Yes No UNIT VIN IN-SERVICE DATE MANF WARRANTY TERM UNIT PURCHASE DATE UNIT PURCHASE PRICE $ PLAN INFORMATION AGREEMENT PURCHASE DATE AGREEMENT EXPIRATION DATE AGREEMENT TERM (MONTHS) AGREEMENT PURCHASE PRICE $ PAYMENT PLAN Yes No New Unit PlanPre-Owned Unit Plan Maximum CoveragePremium Coverage RATE CLASS BASE CODE DEDUCTIBLE ( PER CLAIM) $100.00 (Standard) $50.00 $200.00 $500.00 Other SURCHARGES AND OPTIONAL COVERAGE REQUIRED SURCHARGES OPTIONAL COVERAGE AND SURCHARGES UNIT Age (PRE-OWNED UNITS) Brown Out CoverageCOMMERCIAL USE (NEW UNIT Only)Consequential Loss Coverage DEALER/LIENHOLDER INFORMATION DEALER NAME DEALER NUMBER F&I DEALER NUMBER ADDRESS CITY STATE ZIP CODE DEALER TELEPHONE NUMBER LIENHOLDER NAME ADDRESS CITY STATE ZIP CODE LIENHOLDER TELEPHONE NUMBER OTHER PR