A vehicle dealer selling a low speed vehicle shall provide a written disclosure signed by the buyer at the time of purchase. The disclosure shall include a statement that the low speed vehicle: Has a maximum speed of greater than 20 miles per hour, but less than 25 miles per hour; May not be operated on a public highway with a speed limit in excess of 30 miles per hour; May be a hazard on the roadways if it impedes traffic; and May subject the driver to citations for impeding traffic. The vehicle dealer shall give a copy of the signed disclosure to the buyer and keep the original with the business records of vehicle transactions. The low speed vehicle disclosure form may be printed and distributed by the dealership using the following format: