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Ronald S. Weiss
Call Toll-Free:
1-888-737-8001

Email:
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Call Us Toll Free: 1-888-737-8001

Free Lemon Law Case Evaluation Form
No Fees Ever!

Please fill out this case evaluation form as completely as possible. It will allow us to get started evaluating your case quickly. Please note that entries marked with an asterisk (*) are required in order for this form to be sent.

Contact Information

 
* Full Name:
* Street Address:
* City:
* State:
* Zip:
Email:
Home Phone:
Cell Phone:
Business Phone:
Fax:
Gender:

Vehicle Information

 
* Is Vehicle New or Used?
* Vehicle Year:

* Vehicle Make:

* Vehicle Model:

VIN Number:

Mileage at Purchase:

Mileage Today:

* Lease or Purchase:

City Where Purchased:

Problem Areas/Number of Repairs

Engine &
Transmission

Suspension,
Steering & Brakes

Electrical
System

Body, Paint
& Interior

Shop Visits: Shop Visits: Shop Visits: Shop Visits:

Heating/AC

Leaks

Noises

Other#
(describe)

Shop Visits: Shop Visits: Shop Visits: Shop Visits:
 

 

#Describe Other Here:

 

 

Total number of days vehicle has been in shop for all problem areas combined:

 

 

Additional information:

No Fees Ever!


"Ron Weiss, attorney, is certainly among the best in Michigan and maybe 'THE BEST'." - Pat. P., MI

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Lemon Law Attorney & Counselor
 
               
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Michigan Lemon Law Lawyer

Ronald S. Weiss, Attorney & Counselor
7035 Orchard Lake Road, Suite 600
West Bloomfield, MI 48322
Phone: 248-737-8000  Fax: 248-737-8003
Email: rweiss@michiganlemonlaw.com

TOLL FREE: 1-888-737-8001

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Disclaimers:

Use of this web site does not create an attorney-client relationship between you and Ronald S. Weiss, Attorney at Law. If you send an e-mail and he does not already represent you, your e-mail will not create an attorney-client relationship and will not necessarily be treated as privileged or confidential.

These materials have been prepared for this web site by Ronald S. Weiss for informational purposes only. Nothing herein is intended to be legal advice and Ronald S Weiss expressly disclaims all liability in connection with the legal information contained herein. Do not act upon any information provided herein without first speaking with a qualified attorney or you do so at your own risk.

*In certain limited situations, we may have to charge an additional fee out of any settlement proceeds. This may occur when an employee discount is used for only a particular manufacturer, and only to the extent that the manufacturer reduces fees from the non-employee fee. If there is no recovery, then we would not be entitled to a fee.

 


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