One Earth Advantage Form

  • Buyer Information

  • Vehicle

  • Date Format: MM slash DD slash YYYY

  • Dealer

  • Secured Lender

  • Purchase of this Agreement is not required for financing.

  • Services

  • One Earth Appearance Protection Service

  • Please enter a number from 1 to 99.
  • Date Format: MM slash DD slash YYYY
  • Please enter a number from 1 to 99.
  • Date Format: MM slash DD slash YYYY

  • One Earth Theft Replacement Allowance

  • Please enter a number from 1 to 99.
  • Date Format: MM slash DD slash YYYY

  • One Earth Road Hazard Protection Service

  • Please enter a number from 1 to 50.
    In Inches
  • Please enter a number from 1 to 99.
  • Date Format: MM slash DD slash YYYY

  • One Earth Environmental Protection Service

  • Please enter a number from 1 to 99.
  • Date Format: MM slash DD slash YYYY
  • Please enter a number from 1 to 99.
  • Date Format: MM slash DD slash YYYY
  • Please enter a number from 1 to 99.
  • Date Format: MM slash DD slash YYYY
  • Please enter a number from 1 to 99.
  • Date Format: MM slash DD slash YYYY

  • Administrator

  • One Earth Dealer Services is the administrator with respect to, and is obligated to provide, the services offered under this agreement. The date our responsibilities begin is the agreement purchase date.

  • Acknowledgement

  • LIMITATIONS: This Agreement contains a clause which may limit the amount payable. This Agreement does not provide coverage for bodily injury or property damage liabilities, or any other coverage for which a specific charge is not made. This Agreement contains time limitations for cancellation and refund. Please review section 5 (Termination) in this Agreement. This Agreement is not an insurance policy. PRIVACY NOTICE: We will collect personal information concerning this Agreement and any Services you receive solely for the purposes of administering this Agreement, for responding to and processing requests for Services, and for marketing purposes. A copy of this completed Agreement may be provided to the Secured Lender. The information will be retained at our head office for a period of time as required by law. You may review or amend your information by providing a written request to our Privacy Officer. Calls to or from our offices may be recorded for quality assurance and training purposes. DISCLOSURE NOTICE: In arranging this Agreement, the Dealer is representing us. You authorize One Earth and the Dealer to use and exchange information about you in order to administer this Agreement and process requests for Services. You understand that this transaction does not obligate you to transact additional business with One Earth. AUTHORIZATION: We can rely on any instructions, information, or commitments provided by the Buyer as if such instructions, information, or commitments were provided by the Co-Buyer, and vice versa, and both the Buyer and Co-Buyer shall be bound by the same. ACKNOWLEDGMENT: You acknowledge that you have read and understand this Agreement, including the Terms and Conditions. The information that you have given is complete and accurate, and you acknowledge that we are entering into this Agreement in reliance on such information. You understand that you must abide by the terms of this Agreement.
  • Date Format: MM slash DD slash YYYY

  • Confirmation

    You confirm that you have received all 5 pages of this Agreement.

  • Dealer Certification And Agreement

    The Dealer hereby certifies that the Vehicle, its tires and rims, cloth, leather, and vinyl upholstery, paint, and sheet metal are clean and in good condition, free of damage or corrosion, on the Agreement Purchase Date. The Dealer acknowledges that to validate the registration of this Agreement, the Dealer must forward a copy of this Agreement, signed by the Buyer and the Co-Buyer, if any, to us with appropriate registration fees before the 15th of the month next following the Agreement Purchase Date. If the Dealer fails to do so, the Dealer agrees that it will be responsible for all of the obligations of One Earth under this Agreement, which agreement between One Earth and the Dealer is acknowledged by the Buyer and the Co-Buyer, if any (which acknowledgment is confirmed by the signature(s) above).
  • Financial Services Manager