Failure of DEALER to perform the conditions and covenants herein contained shall cause the forfeiture of any
sums paid.
ACCEPTED:________________________________________________
DEALER: _________________________________________________
CA LICENSE #: ______________________________________________
ADDRESS:__________________________________________________
CITY:______________________________________________ ZIP:____________STATE:___________
SIGNATURE:_________________________________________________
DATE: ________________PHONE: _______________________________
ACCEPTED BY HOST:_____________________________________ DATE: _________________
Please make checks payable to: ECVGMS
Mail return contract copies to: Pat Smock
10852 S. Samuel Rd.
Hereford, AZ.
85615
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