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Get and Sign Proposal to Client for Extended Warranty 2009-2022 Form
Date
/
/
Please tick any of the following that apply to your vehicle:
r Import
COMMENCEMENT DATE
r NZ New
/
r Turbo
r Twin Turbo
r 4WD
/
PERIOD OF INSURANCE r 12 Months
DECLARATION
r Diesel
r 24 Months
r 36 Months
(You must read this Declaration and sign it)
1. Agrees this Proposal Form shall be the basis of the contract between You and IAG New Zealand Limited
2. Declares that all information given is true and correct
3. Agrees to read and abide by the terms and conditions of the...
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