Reynolds and Reynolds Integration Form for iDeal Users

READ THIS CAREFULLY– Unless otherwise mutually agreed by the Parties in a separate written agreement, your use of the Cox Products selected in this Order Form is governed by the Cox Automotive Master Subscription Terms and the Additional Product Terms for each Cox Product selected. The Master Subscription Terms and the Additional Product Terms (“Terms”) are located at http://us.dealertrack.com/content/dealertrack/en/legal/legal-resources.html. By signing this Order Form, each entity listed herein (each a “Customer”) agrees to be bound by the Terms with respect to the Cox Products indicated for the term(s) and fees indicated. You should carefully review the Terms. Upon signing by a duly authorized representative of Dealertrack, the Terms constitute a binding agreement, effective as of the date you sign this Order Form (the “Effective Date”). Except as otherwise defined herein, all capitalized terms used in this Order Form have the meanings attributed to them in the Terms.A member of the support will then contact you to provide assistance.

Required form fields

Dealership Name*

Address Line 1*

Address Line 2*

City*

State*

AlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutD.C.DelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMarianasMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVigin IslandsVermontWashingtonWisconsinWest VirginiaWyoming

Zip Code*

Telephone*

Dealertrack DTID(s)*

To learn how to access your DTID Click Here. * If more than 3 DT IDs or if all stores are not subscribing to the same product(s), Schedule A must be attached with details. Each Dealer will be billed separately unless otherwise specified.

Except as otherwise defined herein, all capitalized terms used in this Order Form shall have the meanings attributed to them in the Terms. The “Initial Term” for each Licensed Product shall be for 1 months commencing on the Activation Date for such Licensed Product(s). The Term for each Licensed Product shall automatically renew as provided in the Terms.

FEE SCHEDULE

PRODUCTS	FEES PER DEALER (One-Time)	FEES PER DEALER (Monthly)
iDeal Contracting Monthly Data Integration Surcharge	$498	$100

Dealer(s) Date Signed*

MM slash DD slash YYYY

By (Signature)*

Use your mouse or finger to draw your signature above

First Name*

Last Name*

Email*

General Terms (applicable to all Licensed Products)

Monthly Fees:	Dealer shall pay all Monthly Fees noted on the Fee Schedule plus applicable sales tax during each month of the Term, payable on the first day of the month.
One-Time Fees:	Dealer shall pay all One-Time Fees noted on the Fee Schedule plus applicable sales tax, payable on the first day of the month following the Activation Date for the applicable Licensed Product. All One-Time Fees are nonrefundable.

*For any DMS integration you must select the monthly data integration surcharge to coincide with your contracting agreement. In California and Michigan, a color printer is required.

Please complete DMS information

Please specify your Reynolds & Reynolds DMS Type*

Reynolds & Reynolds Ignite/EraReynolds & Reynolds Power

Account*

Store #*

F&I Branch*

HONDA DRM

First Name Last Name

Phone / Extension

Email Address

Dealership Contacts

Dealer Information Owner (DIO)

First Name Last Name

Title/Position

Phone/Extension

Cell Phone

(Req’d for Dealer Advocate)

Email Address

IT Administrator Personnel

First Name Last Name

Title/Position

Phone/Ext

Cell Phone

(Req’d for Dealer Advocate)

Email Address

Lead Finance Manager

First Name Last Name

Title/Position

Phone/Ext

Cell Phone

(Req’d for Dealer Advocate)

Email Address

Additional personnel to be trained

Name (Required)

First Name Last Name

Title (Required)

Phone/Ext

Email Address

Comments

This field is for validation purposes and should be left unchanged.

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