CONTRACT NUMBERJune 24th, 2014
FiledJune 24th, 2014PURCHASER & RV INFORMATION PURCHASER NAME AREA CODE AND TELEPHONE NUMBER SALE DATE/COMMENCEMENT DATE STREET ADDRESS CITY, STATE, AND ZIP CODE VEHICLE IDENTIFICATION NUMBER RV YEAR, MAKE, AND MODEL SELLING COMPANY & FINANCE COMPANY INFORMATION SELLING COMPANY NAME SELLING COMPANY ADDRESS AREA CODE AND TELEPHONE NUMBER DEALER CODE SALESPERSON SIGNATUREX FINANCE COMPANY NAME FINANCE COMPANY ADDRESS ADMINISTRATOR OBLIGOR INFORMATION D . This is a Contract between You and the Administrator Obligor. The Administrator Obligor’s performance under this Contract is insured by . If a covered claim is not paid within sixty (60) days after proof of loss has been filed, You may file a claim with at the address listed above. CATEGORY SURCHARGES TERM (SELECT ONE) (SELECT ALL THAT APPLY) For this Service Contract to be valid, the following term must be clear, legible, without correction, and available to the Selling Company at the time of sale. MONTHSIf no term is reflected above, the th