Premium Protection Service AgreementJanuary 12th, 2015
FiledJanuary 12th, 2015CUSTOMER 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 AgreementJanuary 2nd, 2015
FiledJanuary 2nd, 2015CUSTOMER 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 AgreementDecember 6th, 2013
FiledDecember 6th, 2013CUSTOMER 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