Toll Free 800-264-6223 NCADA Services Order Form

Rev. (12/2016)

Toll Free 800-264-6223

NCADA Services Order Form Exclusive Pricing for NCADA Members

Product Description

Unit

Qty

MVR-1 - NC Title Application (01/2017) MVR-2 - NC Dealers Reassignment of Title (09/08)

200 500 1000 250 500

MVR-63A - Secure Power of Attorney (Rev. 07/08) 100 (Pink Form)

500

1000

MVR-63 - NC Power of Attorney (Short Form - White) or (Long Form - White) Please circle one of the above

200 500 1000

MVR-614 - Affidavit of Principally Garaged Vehicle in 100 North Carolina (08/2011)

MVR-614 - Affidavit of Military/Dependent or

100

Principally Garaged Vehicle (01/2016)

MVR-615 - Eligible Risk Statement for Registration 200

(08/2008) 500

1000

Member Price

$ 25.00 $ 49.00 $ 85.00 $ 48.00 $ 86.00 $ 25.00 $ 110.00 $ 190.00

$ 10.00 $ 20.00 $ 37.50 $ 10.50

$ 10.50

$ 25.00 $ 45.00 $ 80.00

Units Total($) Order

$ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00

$ 0.00

$ 0.00 $ 0.00 $ 0.00

Product Description Odometer Disclosure Statement

Used Car Buyers Guide: English

Damage Disclosure Statement

Supplemental Flood Damage Disclosure Statement

Tax & Tag Together - Sample Customer Update

License Plate Envelopes Admin Fee/ Finance Disclosure Signs (Set) NC Motor Vehicle Repair Act Disclosure Sign



Fax 919-829-9525

Unit Qty Member Price

250

$ 30.00

500

$ 50.00

1000 250 500 1000

$ 80.00 $ 25.00 $ 41.00 $ 72.00

100 200 500 100 200 500 200 500 1000 100

$ 15.00 $ 24.00 $ 52.25 $ 15.00 $ 24.00 $ 52.25 $ 30.00 $ 75.00 $ 120.00 $ 55.00

1

$ 27.90

1

$ 20.00

Units Order

Total($)

$ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00

$ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00

$ 0.00 $ 0.00

Attn: (First) Dealership: Street Address: City:

(Last) Zip Code:

Phone: Email: County:

Make Checks Payable to: NCADA Services, Inc. P.O. Box 12167 Raleigh, NC 27605-2167

Shipping & Applicable Tax: Please note Shipping charges and Applicable Tax vary by location and will be added to the Total by the NCADA team. Your bill will reflect this additional amount.

Billing: We'll invoice based on the billing information on file for your dealership.

Questions? Please call NCADA at 919-828-4421

Order Handling Subtotal Applicable Tax Total

$_0_.0_0_______ $ 5.00 $_5_.0_0_______ $_P_e_n__d_in_g___ $_P_e_n__d_in_g___ $_P_e_n_d__in_g___

Submit

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