Information Request Form

If you have any questions, The Lemon Law Center invites you to fill out the form below and add your comments. Thank You!

Name
Street Address
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State
Zip Code
Telephone/Work
Telephone/Home
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Email Address
Type of Vehicle	New Used
Date of Purchase
Type of Warranty
Name of Dealer
Current Mileage
Type of Problem
Current Problems
Days in Shop
Comments:
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The Law Office of Michael E. Lindsey
Tel: (858) 270-7000 Fax: (858) 270-7710