KW MOTORS SERVICE PLAN AGREEMENT

Customer’s Details

Name	###name###
NZDL No.	###licenceno###	Expiry	###expirydate###
Date of Birth	###dob###	Gender	###gender###
Address	###address###
Mobile	###mobile###	Home	###home###
Email	###email###

Vehicle Details

Plate No.	###plateno###	Make	###make###	Model	###model###
Vin No.	###viono###
Year	###year###	Color	###color###	Fuel	###fuel###
Name	###name###
NZDL No.	###licenceno###		Expiry	###expirydate###
Date of Birth	###dob###		Gender	###gender###

Service Plan Details

Type of Service Plan	###plantype###	Minimum Service Term	###term###
Vehicle Type	###vehicletype###	No. of Cylinders	###cylinder###
Special Benefits*	###specialbenifit###
First Service Date	###firstservice###	Last Service Date	###lastservice###

Direct Debit Payment Details

Payment Frequency	###paymentfre###	No. of DD Payments	###nodd###
Each DD Amount	###ddamount###	Payment Day	###payday###
DD Start Date	###ddstartdate###	DD End Date	###ddenddate###
Bank Account Name	###bacnkaccountname###
Bank Account No.	###bankaccountno###
Bank	###bank###

Declaration

I, ###name### declare that: The details that I have provided in this Agreement are true and complete; I have read and understood all the terms and conditions as set out in this Agreement; and I understand that this is a legally binding Agreement between me and Keith Weir Motors Importers and Exporters Limited trading as KW Motors.

###custSign###	###saleSign###
Signed by Customer	Signed by an Authorised Person of KW Motors
Date: ###regDate###	Date: ###regDate###

Customer’s Right of Cancelation

You are entitled to cancel this Agreement within 5 working days after the date on which you receive a copy of this Agreement. If you want to cancel this Agreement you must provide a signed written notice to KW Motors before the end of the 5 working days period starting from the first working day after the day you receive a copy of this Agreement by (a) personal delivery; (b) mail via registered post to 27 West Street, Frankton, Hamilton 3204; or (c) email to service@kwmotors.co.nz.