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	NAME
	ADDRESS
	PH
	EMAIL
	PROBLEM WITH VEHICLE
	MAKE		Acura Alfa Romeo Aston Martin Audi Bentley BMW Bugatti Buick Cadillac Chevrolet Chrysler Citroen Daewoo Daihatsu Daimler Datsun Dodge Eagle Fiat Ford GM GMC Hino Holden Honda Hummer Hyundai Infiniti Jaguar Jeep Kai Lamborghini Land Rover Lexus Lincoln Maybach Mazda Mercedes Mercury Mitsubishi Nissan Oldsmobile Opel Peugeot Plymouth Pontiac Range Rover Renault Rolls-Royce Saab Saturn Scion SEAT Skoda Smart Suzuki Toyota Vauxhall Volkswagen Volvo
	MODEL
	YEAR		2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 other
	REGISTRATION