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FREE NEW CAR LEMON CASE EVALUATION

Please take a minute to fill out our Automobile Lemon Law form.  An experienced consumer protection attorney will contact you for a Free consultation and case evaluation.

Contact Information  *

Name 

Email 

Address 

CityZip
State
Day Telephone
Evening Telephone

* Required Fields

Product Information

Year

  Make 

Model

 New    Demo/Program Vehicle   Lease  
Date PurchasedPurchase Price
Current Mileage

Warranty Information

Type of Warranty  

Manufacturers Warranty

Extended Warranty

Service Contract

"As Is"

Primary Areas of Concern

Please list repair attempts you may have had.

Complaint

Number of Repair Attempts

        Total Number of Trips to Dealer:   

 

Additional Comments or Information

DISCLAIMER: By submitting this form, I understand that I am not entering into any attorney-client relationship with Simanovsky & Associates.  This is merely a request for information.  No representation shall be undertaken without a written terms of representation.


Last Updated: Tuesday, July 10, 2001
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