Page 26 - PIADA-April-2022-Final-web

MARYLAND FORMS DEALERS CAN ORDER PENNSYLVANIA FORMS DEALERS CAN ORDER HIGHLINE

SECURE FORMS QUANTITY PRICE TOTAL $ DUE DESCRIPTION QUANTITY $ MEMBER $ NON-MEMBER MEMBER EXT NON-M EXT
Secure Power of Attorney (3 part-50 per package) _____ $ 20. $ ________ “As is” Supplemental Statement _____ $ 24. $ 48. $ _______ $ _______
00*
00
00
Secure Dealer Reassignment (1 part-100 per package) _____ $ 20. 00 $ ________ Buyers Guide Plastic Holders (50) _____ $ 40. $ 80. $ _______ $ _______
00
00
Shipping Cost: Total Secure forms order ________ Buyers Guide Window Form _____ $ 20. $ 40. $ _______ $ _______
$
00
00
1 – 4 packs = $10.00 6% Maryland Sales Tax ________ Buyers Guide Window Form (Spanish) _____ $ 18. $ 36. $ _______ $ _______
00
00
5 – 10 packs = $15.00 Shipping ________ Consignment & Sales Agreement Form _____ $ 25. $ 50. $ _______ $ _______
Over 10 packs – Please call ahead for pricing.
00
00
$
TOTAL enclosed for Secure forms ________
Deal Jackets _____ $ 30. $ 60. $ _______ $ _______
00
00
00
00
NON-SECURE FORMS QUANTITY MEMBER NON- MEMBER TOTAL $ DUE Fees Chart (wall mount) _____ $ 14. $ 28. $ _______ $ _______
$
$
00
Cash Sales Contracts (100 per pack) _____ $ 47. 00 $ 94. $ ________ Fraud Hotline Poster _____ $ 14. $ 28. $ _______ $ _______
00
00
Odometer Mileage Statement (100 per pack) _____ $ 18. 00 $ 36. 00 $ ________ Installment Sales Contract (100) _____ $ 150. $ 300. $ _______ $ _______ 100 +
00
00
FTC Buyers Guide (100 per pack) _____ $ 28. 00 $ 56. 00 $ ________ Interpreter Confirmation of Translation _____ $ 25. $ 50. $ _______ $ _______
00
00
Check one:  AS IS  IMPLIED Key Tags (250) _____ $ 32. $ 64. $ _______ $ _______ UNITS
00
00
Restricted Power of Attorney (100 per pack) _____ $ 10. 00 $ 20. 00 $ ________ Lease Agreements _____ $ 78. $ 156. $ _______ $ _______
00
00
Deal Jackets (100 per pack) _____ $ 24. 00 $ 48. 00 $ ________ Limited Warranty _____ $ 26. $ 52. $ _______ $ _______
00
00
Test Drive Agreements (100 per pack) _____ $ 28. 00 $ 56. 00 $ ________ No Purchase Required Disclosure _____ $ 24. $ 48. $ _______ $ _______
00
00
Total Non-Secure forms order ________ Notary Receipt Pad _____ $ 15. $ 30. $ _______ $ _______
$
00
00
6% Maryland Sales Tax ________ Odometer Mileage Statement _____ $ 18. $ 36. $ _______ $ _______
00
00
TOTAL enclosed for Non-Secure forms _________ Power of Attorney Disclosure Forms _____ $ 18. $ 36. $ _______ $ _______
$
00
00
TOTAL AMOUNT DUE _________ Rental Agreements _____ $ 32. $ 64. $ _______ $ _______ Wednesday,
$
00
00
00
Dealership ________________________________________________________________________ Retail Buyer Order Form _____ $ 32. $ 64. $ _______ $ _______
00
Secure Power of Attorney _____ $ 45. $ 45. $ _______ $ _______
00
00
Dealer # (required) _________________________________________________________________ April 27
Secure Power of Attorney Log Book _____ $ 15. $ 30. $ _______ $ _______
00
00
Member  Yes  No Contact Name ___________________________________________ Temp Tag Log Book _____ $ 15. $ 30. $ _______ $ _______
00
00
00
00
Email _____________________________________________________________________________ Title Release Authorization _____ $ 15. $ 30. $ _______ $ _______ After -Sale Event!
00
Used Vehicle Record _____ $ 15. $ 30. $ _______ $ _______
00
Address __________________________________________________________________________
(FEDEX & UPS WILL NOT DELIVER TO P.O. BOX) ADP FORMS Lanes 1 & 2
City_______________________________________________State ______Zip _________
00
Customer Delivery Check List _____ $ 28. $ 56. $ _______ $ _______
00
Phone ______________________________Fax ______________________________________ Customer Proposal _____ $ 28. $ 56. $ _______ $ _______ 13-300 and up & 14-300 and up
00
00
Y!
A
TUESD
00
00
Card Type:  VISA  MasterCard  AMEX Damage Disclosure _____ $ 28. $ 56. $ _______ $ _______
Delivery Confirmation _____ $ 28. $ 56. $ _______ $ _______ TUESDAY! Call Inside Sales for Details
00
00
Name on Card ___________________________________________________ Exp. Date________
Goodwill Repair Acknowledgement _____ $ 28. $ 56. $ _______ $ _______
00
00
Card Number _____________________________________ Security Code________ Insurance Coverage Acknowledgement _____ $ 28. $ 56. $ _______ $ _______
00
00
Apr 13 |4PM
Lease Spot Delivery Agreement _____ $ 28. $ 56. $ _______ $ _______
00
00
Make checks payable to: PIADA or fill out payment information below:
Notice to Co-Signer _____ $ 28. $ 56. $ _______ $ _______ A p r 13 | 4 PM
00
00
Card Type:  VISA  MasterCard  AMEX  Discover Trade-In Appraisal _____ $ 28. $ 56. $ _______ $ _______
00
00
$
Name on Card ___________________________________________________ Exp. Date________ Subtotal _______ $ _______
6% Pennsylvania Sales Tax _______ $ _______
$
Card Number _____________________________________ Security Code________
Shipping $ per pound + Special Shipping $ at cost. Total w/o shipping $_________ Contact Inside Sales
We cannot process orders until payment is received. Please make checks payable to PIADA, 1501 North Front St., Harrisburg, PA 17102
(call in to receive shipping cost to include in payment) or you may fax orders to
Signature ____________________________________________ Date ___________________ 717.238.3870 with credit card information. *All orders MUST be accompanied by a for More Details
For questions you may contact Cynthia Slemons at method of payment. *Must provide DIN if applicable.
717.238.9002 ext. 16 or Cynthia@piada.org. Dealership ________________________________________________________________________ 717.569.5220
x406
Contact_______________________________________________Date ________________
FOR INFORMATION ON MEMBERSHIP... Address __________________________________________________________________________
MIDATLANTIC IADA = PIADA + MDIADA + DEIADA City_______________________________________________State ______Zip _________
Contact Shannon at 717.238.9002 x 18
Shannon@piada.org Phone _____________________Fax ____________________*DIN ___________________
www.piada.org • www.mdiada.org • www.deiada.org Card Type:  VISA  MasterCard  AMEX
JOIN TODAY! Name on Card ___________________________________________________ Exp. Date________
MidAtlantic Regional
Pennsylvania | Maryland| Delaware
Independent Automobile
Dealers Association Card Number _____________________________________ Security Code________ America’s Auto Auction Lancaster
All forms come in packs of 100 unless otherwise noted.
1040 Commercial Ave, East Petersburg, PA 17520
717.569.5220 | www.americasautoauction.com
24 | MIDATLANTIC DEALER NEWS | MIDATLANTICAUTODEALERSUNITED.ORG • APRIL 2022 Bid Online With www.edgepipeline.com