626 LX L4-2.0L DOHC (1999)
5.
You have an original or legible copy of the paid repair order or invoice showing:
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Description of the concern reported
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Replacement of the brake master cylinder or sub-component on the subject vehicle
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Itemized parts and labor charges
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Vehicle model and year, and vehicle identification number (VIN)
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Repair date
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Repair mileage
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Name, address and telephone number of the authorized Mazda Dealer or a licensed repair shop where such repairs were performed
6.
Mail this reimbursement application form in the enclosed envelope (before December of 2002) to:
Mazda North American Operations
P.O. Box 5049
Lake Forest, CA 92609-8549
II.
Procedure for Reimbursement Request
If you wish to apply for reimbursement under this plan, please:
1.
Complete the reimbursement application form clearly.
2.
Mail this application together with a legible copy of the paid repair order or invoice.