Reimbursement Plan
I. Requirements for ReimbursementIf you meet all the following requirements, you are eligible to receive reimbursement under this plan:
1. An authorized Mazda dealer has performed Recall Campaign # 89004.
2. You own or have owned a subject vehicle (1999-2000 Model Year 626) within the following VIN range and production dates: 1YVGF22**X5850429 - 1YVGF22**Y5139395 and built from February 24, 1999 to January 20, 2000.
3. You have paid for repair to the master cylinder assembly or sub-component of the master cylinder for the concern mentioned in the letter from Mazda Motor Corporation.
4. The repair has been paid for prior to receiving this letter.
5. You have an original or legible copy of the paid repair order or invoice showing:
^ Description of the concern reported
^ Replacement of the brake master cylinder or sub-component on the subject vehicle
^ Itemized parts and labor charges
^ Vehicle model and year, and vehicle identification number (VIN)
^ 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 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.
3. Retain copies of the paid repair order or invoice and the 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.