DELIVERY CHECKLIST

(Insert a in the box when the item has been successfully completed)

Customers Name Delivery Person Name Sales Consultant Name

Registration Plate # VIN# Engine #

Model Colour Congratulations on your new purchase! Our Dealerships quality commitment is a promise to do our best to satisfy your total vehicle needs. As part of our commitment, we certify that all the pre-delivery items on this form have been checked to help ensure your total satisfaction with your new vehicle. Quality vehicle check: Pre-delivery inspection performed to Ford specification Vehicle road tested Clock is set All ordered factory options installed on vehicle verified Delivery document review: Explained delivery process Title document Registration documents Financing and Insurance documents Service Department: Explained how to obtain warranty support/ service Introduced customer to Service Department personnel Extended Warranty (if applicable) Toured Service Department/ Interactive Reception Review scheduled maintenance periods Set the first routine scheduled maintenance appointment Emergency Roadside Assistance (if applicable) Introduction to DCRC Sales Invoice/ Contract Warranty booklet and terms explained Owner guide/ Quick Reference Guide Spare key(s); Radio code Total Cleanliness inside Total Cleanliness outside Audio system tuned to your preference Accessories supplied as ordered

Follow up: Desired date and time of call and telephone number :-___________________________

Orientation drive: Customer orientation drive Full tank of fuel

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QC-S Template 12 Version 2.3

Delivery Checklist (continued)

(Insert a in the box when the item has been successfully completed) Vehicle presentation operating features (as applicable): Driver Orientation Airbags - Driver, passenger, side and other Air-conditioning operation All-Wheel Drive/4x4 Control Antenna location/operation Anti-Lock Braking System (ABS) Anti-Theft System (PATS) Audio system, clock operation/set time Brake/ Shift Interlock (Automatic Trans.) Cruise control operation Defroster - rear window operation Door locks/windows (express-down drivers window/ power locks) Heating and ventilation Hood, trunk/dicky, and fuel door operation Keys programming/ numeric pad Lights operation (standard/ park/ High beam) Mirrors - operation of outside & inside Reverse sensing system Safety belts (height-adjustable/ D-rings) Seat adjustment - Tip/slide/ memory Under Bonnet/ Hood Engine Compartment fluid level check points Tire Inflation Passenger Compartments Child-restraint system Flexible seating/storage positions Rear-door child-safety locks Spare tire/jack location and jack points Third row sliding seat system Trunk/ Dicky/ Hatch Rear seat fold down Two-way lift-gate Fuel pump inertia shut-off switch Tools - location Steering wheel/column - adjustable operation Traction control Trip computer Vehicle starting procedures Wiper/washer operation (front and rear)

Checklist reviewcustomer sign-off: I have personally explained the New Vehicle Limited Warranty coverage (what is covered and what is not covered). Sales/Delivery Persons Signature:Date:-

I acknowledge that all items on this delivery form have been reviewed with me by my delivery person to my satisfaction. Service Advisor name:-______________________ Signature:-________________ Date:- ___________ DCRC name:-______________________________ Signature:-_________________ Date:- ___________

Customers Signature:-

Date:-

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QC-S Template 12 Version 2.3