Behrs New York Contract Form Date(Required) MM slash DD slash YYYY Dealer Email(Required) Secondary Dealer Email (Optional) Customer Name(Required) First Last Home Phone(Required)Cell Phone(Required)Drivers License NO(Required)Email(Required) Address(Required)City(Required)State(Required)Zip code(Required)Size(Required)Style(Required)Color(Required)Serial Number(Required)Cash Price(Required)Customer Reserve AccountSecurity Deposit(Required)Tax Rate %(Required)Condition New Used Monthly Terms(Required) 24 36 48 54 Total Monthly Payments(Required) 24 36 48 54 LDW Accepted Customer Accepts LDW LDW Declined Customer Declines LDW Include LDW Cost(Required) Yes No Is Total Greater Than $10,000?(Required) Yes No Total Cash Price(Required)LDWMonthly PaymentTotal Cost Calculation No TaxMonthly Tax RateMonthly PaymentTotal CostMonthly Tax RateMonthly Total PaymentInitial Payment Tax RateInitial PaymentCost of Rental
