MICHIGAN RESIDENTS ONLY
YOU MUST BE THE ORIGINAL OWNER OF THE MOTORCYCLE TO QUALIFY FOR A FREE CASE REVIEW
First Name
Last Name
Street Address
Apt # City
ZIP
Phone (Day)
Phone (Eve)
Phone (Cell)
Email
Year Select Year 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 Make
Dealership:
Date Purchased Select Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Select Year 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Did you FINANCE the purchase of the motorcycle?
If YES, did you also FINANCE an EXTENDED WARRANTY, SERVICE PLAN or CREDIT LIFE INSURANCE?
Yes
Indicate all problem areas
Drivetrain Suspension Electrical Body Parts Other
Briefly describe the dealer's attempts to remedy
The Law Office of Brian Parker provides a free case review for Michigan Residents only. If you are not a Michigan resident please visit our affiliate site at www.lemonkiller.com
