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DELIVERY CONFIRMATION
Dealership Name _________________________________ Salesperson ______________________________
Customer Name(s) __________________________________________________________________________
Home Telephone _______________________________ Work Telephone ____________________________
Vehicle Description _________________________________________________________________________
Year Make Model VIN
Our Dealership has prepared this Delivery Confirmation to ensure your satisfaction with the vehicle and to
make sure there are no misunderstandings between us with respect to the transaction. We recognize that you
have been asked to review and sign a number of documents today in order to complete the transaction. You
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.
AS OF THE TIME OF DELIVERY I HAVE YET TO RECEIVE THE FOLLOWING
PRODUCTS AND OR SERVICES PROMISED TO ME IN CONNECTION WITH THIS
TRANSACTION ________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
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
________________________________________________ __________________________________
Customer Date
________________________________________________ __________________________________
Authorized Dealership Representative Date