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DELIVERY CONFIRMATION

Dealership Name _________________________________ Salesperson ______________________________

Customer Name(s) __________________________________________________________________________

Home Telephone _______________________________ Work Telephone ____________________________

should also have been provided with the opportunity to take the vehicle for a test drive. Please take a moment

now to review the transaction before taking delivery of the vehicle to make sure it is clear to you and that

nothing has been promised to you that has not been put into writing. Representatives of this Dealership are not

authorized to make any oral promises to you. If our dealership has agreed to provide any goods and/or services

with respect to the vehicle that have not been received at the time of delivery of the vehicle, those items should

be listed below:

I HAVE RECEIVED ALL OF THE PRODUCTS AND SERVICES PROMISED TO ME IN

CONNECTION WITH THIS TRANSACTION AT THE TIME OF DELIVERY.

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

By signing below, you are acknowledging that you had the opportunity to inspect the vehicle and found it to be

free from any reasonably discoverable defects. You are also agreeing that you had the opportunity to review the

entire transaction and the Dealership has satisfactorily addressed any question or concerns you had and nothing

has been promised to you that has not been put into writing. This Delivery Confirmation Form is herby

incorporated into this transaction.

Customer Date

________________________________________________ __________________________________

Authorized Dealership Representative Date