Reimbursement Plan
I. Requirements for ReimbursementIf you meet all of the following requirements, you are eligible to receive reimbursement under this plan:
1. Recall Campaign # 87004 has been performed.
2. You own or have owned a subject vehicle within the following VIN range: 1994 626/MX-61YVGE****R5 150619 - 1YVGE****R5 206336 (Note: "*" can be any number or letter).
3. You have paid for the repair of a headlight switch or a combination switch due to a defect in material or workmanship.
4. The repair has been paid for prior to receipt of this letter.
5. You have an original or legible copy of the paid repair order or invoice receipt showing:
^ Repairs of the headlight switch or the combination switch due to headlight failure
^ Itemized part(s) and labor charges
^ Vehicle model and year, and vehicle identification number (chassis number)
^ Earlier date of either first use or retail delivery of the vehicle
^ Repair date
^ Repair mileage
^ Name, address and telephone number of the authorized Mazda Dealer or a licensed repair shop where such repairs were performed.
6. Mail the reimbursement application form shown in the enclosed envelope (before November 2002) to:
Mazda North American Operations
P.O. Box 5049
Lake Forest, CA 92609-8549
II. Procedure for Reimbursement Reauest
If you wish to apply for reimbursement under this plan, please:
1. Fill in the reimbursement application form clearly.
2. Mail this application together with a legible copy of the paid repair order or invoice.
3. Retain copies of the paid repair order or invoice and this application form for your records.
If you wish to correspond with Mazda regarding this reimbursement plan, please write to the above address and refer to your vehicle identification number (VIN). Any reimbursement application form that is incomplete, illegible or sent without the legible copy of the paid repair order (invoice) will be returned for completion. If Mazda has any questions concerning your application for reimbursement, you may be contacted.