THIS IS A COPY

The Authoritative Copy of this record is held at CA.docusign.net

Client: ROBERT P CORNELIUS Sales Consultant: TYRONE SINGH

Co-Applicant:
Stock #: UC3341 Financial Services Manager: BRAD ONIFRICHUK (F&I)

Waiver of Protec on Op ons

In order to comply with Provincial and Federal disclosure Laws, we at Whitby-Oshawa Honda ask that you
read the following waiver to ensure that you are aware of the various protec on packages that are available
for your vehicle purchase. Thank you.

Purchase Decline
Credit & Payment Protec on
1. Life Insurance Coverage □ □

W
2. Cri cal Illness □ □
3. Accidental Health Insurance □ □

IE
4. Loss of Employment Insurance □ □
5. First Canadian Insurance Coverage □ □

Purchase Decline
Total Loss Protec on
1. Replacement Warranty
2. Gap

Mechanical Protec on

Y V □
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Purchase
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Decline

OP 1. Extended Service Contract - Honda Plus / Acura Plus

2. Extended Service Contract - SAL / First Canadian / Lubrico
3. Honda Advantage

Appearance & Hazard Protec on

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Purchase
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Decline

C 1.
2.
3.
4.
5.
6.
7.
Diamond Kote Rust Control Module
Honda Plus / Diamond Kote Rust Protec on
Paint Seal
Fabric / Leather Protec on
Roadside Hazard / Tire & Rim Protec on
Honda Lease Guard
Owners Comfort
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8. Key & Remote □ □

Date 2023/08/24

Client Signature Administra ve Assistant

Co-Applicant Signature