Motor Vehicle Dealer Applicant Name Motor Vehicle Repair/Servicing Business Name
Agreement Date
Address Address
City, State, Zip Code
City, State, Zip Code
Area Code - Telephone Number Area Code - Telephone Number
For an agreed rate, the above-identied motor vehicle repair and servicing business agrees to service all motor vehicles
oered for sale or sold at retail by the above-named motor vehicle dealer applicant, on warranties or otherwise, during the
license year.
It is mutually understood and acknowledged that approval of this agreement by the Wisconsin Department of
Transportation is a condition precedent to the issuance of a license to the motor vehicle dealer applicant named above.
X X
X
X
X
(Department Agent)
(Motor Vehicle Repair and Servicing Business Agent)
(Motor Vehicle Dealer Applicant)
(Witness)
(Witness)
Wisconsin Department of Transportation
MOTOR VEHICLE DEALER SERVICE AGREEMENT
APPROVED
MV2085 11/2000 Ch. 218 Wis. Stats.