Galant VR4 AWD L4-1997cc 2.0L DOHC Turbo (1992)
5.
Enter the Vehicle Identification Number.
NOTE: 1 digit per box, and the digits must be legible. (Use a fine point pen.)
6.
Enter "EMR-92-003".
7.
Enter your dealership's name.
B.
Enter your dealership's physical address. Not the mailing address.
9.
Enter date of repair.
10.
Sign the form.
