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NTP Service Contract Suspend / Transfer Request Form
Request Suspension of Service Contract Coverage Coverage Suspended for up to 6-months Truck Originally Sold By Your Dealership ALL Suspensions / Transfers @ NTP's Discretion
Complete "Part 1" Below and FAX to NTP @ 201-842-6408 [PDF Version]

Coverage Will Be Suspended NO EARLIER Than Date Form Received By NTP
Part 1: Service Contract Information
Dealership:	Date Requested:
Contract #:	VIN [Last 8]:
Truck Model:	Truck Make:
Truck Year:	Current Mileage:
Dealer Contact:
Originally sold to has been returned to our dealership

Please suspend the Service Contract coverage on this truck for up to 6-months so we can transfer the remaining coverage to a subsequent purchaser at a later date.

Part 2: Remaining Coverage	NTP Use Only Do Not Write In This Section
Date Received By NTP: ______________	Expiration: _______________

As of the suspension request date, the truck listed above has the following Service Contract coverage remaining:
Days Remaining: _______________	Miles Remaining:_______________

NTP will verify coverage and notify you by return fax

Part 3: Transfer Information	Complete and Return to Transfer and Re-Activate
Save the returned fax with remaining coverageas noted by NTP When you resell a truck with suspended coverage, to transfer balance of coverage on the identified service contract to the new owner, complete Part 3 of this form Mail to NTP with a $250 suspend / transfer fee
New Sales Date: _______________	New Owner Name: _______________
Street Address: _______________________________________________
City, State & Zip: _______________________________________________
New Owner Phone: _______________	Cell Phone: _______________

I have been informed by _________________________, that I am receiving the remaining coverage on the above reference truck. I have received a copy of the original Service Contract and I agree to all existing terms and conditions.

New Owner Signature: ____________________________________________
Date: _______________

Mail completed form with your check for $250, payable to National Truck Protection, P.O. Box 126, Carlstadt, NJ 07072

Coverage Is NOT Transferred Until Payment Has Been Received By NTP