|
Optional
Questionnaire
You
may email a completed Optional Questionnaire to
the law firm for review. The information
you submit will be carefully evaluated by an
attorney who will call you to
discuss
your case with you. Or you may choose to call
the law firm.
Call
Toll Free For a Free Consultation with an
Attorney!
1-866-STOP-LEMONS
(1-866-786-7536)
Serving
All California Residents
Name:
Mailing Address:
Home Phone:
()
Work
Phone:()
E-Mail Address:
Vehicle Year/ Make/ Model:
Manufacturer:
Date Of Contract:
Vehicle Purchased Or
Leased:
Purchase or Lease Price
(Including
Financing or Capitalized Cost if a
Lease):$
Lender:
Defects And Nonconformity
Problem(s):
Number Of Trips To The
Dealer For Repairs:
Total Number Of Days In
The Repair Shop:
Date Of The First Problem:
Mileage Of The First
Problem:
Warranty Term:
months:
miles:
Extended Warranty/Service
Contract:
yes
no
If Yes, Terms Of Extended
Warranty/Service Contract:
months:
miles:
Was Case Arbitrated:
When:
What Were The
Results?:
Whereabouts Of Vehicle:
Mileage
Ongoing Problems With Your
Vehicle:
Accidents:
yes
no
How/Who Referred You To
This Law
Firm:
|