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Personal Information
*First Name:
*Last Name:
*Your Email Address:
Province:
Your Phone Number:

Tell us about your vehicle
Vehicle Year:
Vehicle Make:
Vehicle Model:
Odometer Reading:
(Leave as 1km, if vehicle is new.)
Please indicate if your vehicle is equipped with any of the following options: DVD Player
GPS / Navigation System
Phone System
Turbo/SuperCharger
Hybrid
Convertible
Additional Features:
Will this vehicle be purchased in the United States and Imported Into Canada?:
When did the original owner of this vehicle purchase this vehicle (In Service Date)?:
Anything else you think we should know?
eg New Model, Trim, notes
MFG B2B Warranty Years:
MFG B2B Warranty Kilometers:
MFG PT Warranty Years:
MFG PT Warranty Kilometers:
Mark Up Quoted:
Wrap Mark-up Quoted:
Wrap Base:
5 YR 105k Base:
4 YR 85k Base:
3 YR 65k Base:
2 YR 50k Base:
1 YR 25k Base:
3 YR 65k PTP $2500:
2 YR 50k PTP $2500:
1 YR 25k PTP $2500:
5 YEAR PT NO WARRANTY:
4 YEAR PT NO WARRANTY:
3 YEAR PT NO WARRANTY:
2 YEAR PT NO WARRANTY:
1 YEAR PT NO WARRANTY:
5 Year Essential No Warranty:
4 Year Essential No Warranty:
3 Year Essential No Warranty:
2 Year Essential No Warranty:
1 Year Essential No Warranty:
5 Year Fully Loaded No Warranty:
4 Year Fully Loaded No Warranty:
3 Year Fully Loaded No Warranty:
2 Year Fully Loaded No Warranty:
1 Year Fully Loaded No Warranty:
5 YEAR B2B NO WARRANTY:
4 YEAR B2B NO WARRANTY:
3 YEAR B2B NO WARRANTY:
2 YEAR B2B NO WARRANTY:
1 YEAR B2B NO WARRANTY:
10 YEAR PT WARRANTY:
9 YEAR PT WARRANTY:
8 YEAR PT WARRANTY:
7 YEAR PT WARRANTY:
6 YEAR PT WARRANTY:
5 YEAR PT WARRANTY:
4 YEAR PT WARRANTY:
10 YEAR ESSENTIAL WARRANTY:
9 YEAR ESSENTIAL WARRANTY:
8 YEAR ESSENTIAL WARRANTY:
7 YEAR ESSENTIAL WARRANTY:
6 YEAR ESSENTIAL WARRANTY:
5 YEAR ESSENTIAL WARRANTY:
4 YEAR ESSENTIAL WARRANTY:
10 YEAR FULLY LOADED WARRANTY:
9 YEAR FULLY LOADED WARRANTY:
8 YEAR FULLY LOADED WARRANTY:
7 YEAR FULLY LOADED WARRANTY:
6 YEAR FULLY LOADED WARRANTY:
5 YEAR FULLY LOADED WARRANTY:
4 YEAR FULLY LOADED WARRANTY:
10 YEAR B2B WARRANTY:
9 YEAR B2B WARRANTY:
8 YEAR B2B WARRANTY:
7 YEAR B2B WARRANTY:
6 YEAR B2B WARRANTY:
5 YEAR B2B WARRANTY:
4 YEAR B2B WARRANTY: