NCADA Services Order Form

[Pages:1]Rev. (05/2019)

Toll Free 800-264-6223

Product Description MVR-1 - NC Title Application (01/2017)

MVR-2 - NC Dealers Reassignment of Title (09/08)

MVR-4 - Duplicate Title Application (07/2018)

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

MVR-63 - NC Power of Attorney (Short Form - White) or (Long Form - White) Please circle one of the above Tax & Tag Together - Sample Customer Update

MVR-614 - Affidavit of Military/Dependent or Principally Garaged Vehicle (01/2016)

NCADA Services Order Form

Unit Qty 200 500 1000 250 500 250 500 100 500

Member

NonMember

Units

Price

Price

Order

$25.00 $32.00

$49.00 $61.00

$85.00 $95.00

$48.00 $57.00

$86.00 $102.00

$45.00 $53.00

$90.00 $106.00

$25.00 $31.50

$110.00 $120.00

Total($)

Product Description Odometer Disclosure Statement

Used Car Buyers Guide: English

Damage Disclosure Statement

1000 200 500 1000 200 500 1000 200 500 1000

$190.00 $200.00

$10.00 $11.50

$20.00 $22.50

$37.50 $41.25

$30.00 N/A

$75.00 N/A

$120.00 N/A

$25.00 $30.00

$45.00 $80.00

$52.00 $90.50

Supplemental Flood Damage Disclosure Statement

License Plate Envelopes Dealer Shop and Other Service Related Fee Sign Finance Yield Sign Admin Fee Sign NC Motor Vehicle Repair Act Disclosure Sign Full Set of Dealership Disclosure Sign (all 4 signs)

Fax 919-829-9525

Unit Qty

250 500 1000

Member

NonMember

Price

Price

$30.00 $33.75

Units Order

$50.00 $55.75

$80.00 $90.00

Total($)

250 500 1000

$25.00 $41.00 $72.00

$31.00 $47.50 $80.75

100 $15.00 $19.00 200 $24.00 $29.00 500 $52.25 $59.00 100 $15.00 $19.00 200 $24.00 $29.00 500 $52.25 $59.00 100 $55.00 $63.00

1

$25.00 N/A

1

$25.00 N/A

1

$25.00 N/A

1

$25.00 N/A

1

$90.00 N/A

Attn: (First) Dealership:

(Last)

Phone:

Dealer #:

PO #: Date:

Street Address:

Email:

City: Zip Code:

*County:____________________

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

(Important: All orders require dealership's county to be listed.)

To order by credit card, please complete:

o Mastercard o VISA

o AMEX Expiration Date:

Order

$__________

Handling $__________

Name:

Account Number

3 or 4-Digit Code

SShuibptpoitna gl $$____________________

Bill Address: Street

City

Zip

Applicable Tax $__________ Total $__________

Questions? Please call NCADA at 919-828-4421

**$3.00 Additional Handling Fee for Non-Members

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