Name---------

Frame No. ---------

Motor No. ---------

THE X Y MOTOR CO. Retail Car Contract

Starter No. ---------

Del'y Order No. ---------

Date Delivered ---------

---------, ---------, 19-

Please enter order for Model --------- [insert model and name of car], equipped with --------- Tires, this Car to be delivered on or about --------- (barring delays in transportation or other causes beyond our control), according to the following terms and the regular catalogue specifications:

Price of Car, F. 0. B. Factory..............................

$--------------

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Freight from Factory.......................................

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Additional Equipment ....................................................

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Total ..................................

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Less Deposit, Receipt of which is hereby Acknowledged.........................

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Balance Due when Delivery of car is tendered ..............................................

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Salesman ............................................................................................

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It is expressly agreed and understood that the amount deposited herewith shall be returned to me should you be unable to make delivery, and no further responsibility shall exist. It is also expressly agreed in the event this order is canceled any second-hand car which may have been taken in exchange in part payment of purchase price and sold by the X. Y. Motor Company previous to such cancellation shall be accounted for by it at the price sold less cost of handling, and not at the price which may have been allowed for the same in exchange.

No agreement, verbal or otherwise, not contained in this contract will be recognized.

The Guarantee on this sale is printed on the reverse of this contract and the purchaser expressly agrees that no claim will be made except as specially provided for in this contract.

(Signed in Duplicate)

Accepted, The X. Y. Motor Company, Signed ---------,

---------, Retail Sales Manager. Residence ---------.