Please check the box that applies:
This dealership is NOT establishing, relocating or reopening at a location within the relevant market area of
existing enfranchised dealers. Relevant market area is defined in s.218.0101(30) Wis. Stats.
This dealership is establishing, relocating or reopening at a location within the relevant market area of existing
enfranchised dealers and proper written notice of intent to enter into this franchise agreement has been made to
the department and to each such existing enfranchised dealer as required by s.218.0116(7) Wis. Stats. (Attach
copy of notice.)
Please check the box that applies:
A copy of the contract, including specific dealer delivery and preparation obligations is attached for filing as
required by law.
A blanket contract, including specific dealer delivery and preparation obligations has been or is filed as required
by law. All our contracts with all Wisconsin dealers are identical.
I certify that the identified dealer and manufacturer/importer/distributor have executed a contract effective on the date
specified, subject to the licensing provisions of Chapter 218, Wisconsin Statutes, for the representation and sales of the
indicated make of motor vehicles in the listed community(ies) or territory(ies) within Wisconsin.
X
(Authorized Agent) (Date)
NOTE: In case of contract termination/cancellation, Wisconsin Statutes require that written notice be given the dealer,
including the effective date and specific grounds for termination or cancellation, at least 60 days prior to the effective date
and that a copy of the notice be filed with the Department of Transportation. Manufacturer and distributor responsibilities,
when franchising Wisconsin motor vehicle dealers, are included in Wisconsin Statute Chapter 218.
