Lemon RV: Free Case Review

Complete this form for a FREE EVALUATION* of your lemon RV case.
Required fields are marked with an asterisk (*)

THE INFORMATION GIVEN IN THIS FORM IS PRIVATE AND WILL NOT BE DISSEMINATED TO ANYONE NOR SOLD OR "RE-USED" FOR ANY PURPOSE IN THE FUTURE

1. Tell us about yourself...


	* First Name:	* Email:
	* Last Name:	* Phone (home):
	Address:	Phone (work):
	* City:	Phone (cell/pager):
	* State of residence:
	Zip:
As per our privacy policy, we will not share your e-mail address with third-party marketers or place you on any spam list

	How would you prefer we contact you?
	If other, please explain here:
	What is the best time of day to reach you?	Daytime - (9a-6p) Evening - (6p-8p)

2. Tell us about your RV...

Type of RV:

Make/Manufacturer:

Model:

Year:

Motorized RV:

RV was:

Purchased Leased

RV was purchased or leased in:

Date Purchased:

Approximate Mileage:

Purchase Status:

New Used Demo

If your RV is used, please enter mileage
at time of purchase:

Warranty Type:

How many days has your RV been at the dealer for repairs and out of your possession? :

List all states
where repairs were performed:

3. Tell us about the nature of your problem.
Please check all that apply and include the number of repair attempts per problem.

Total number of times
vehicle has been in for repair:

Additional information (optional):

How did you hear about our website?

If other, please indicate the name of the
website or search engine.