To
contact Simanovsky
& Associates,
Georgia's Consumer
Protection
Attorneys, please
fill out the form with as much information as possible. If you prefer,
please call us at
404-248-6333 or
toll-free
1-866-86-LEMON for a
free lemon law case
evaluation.
Name:
*
Email: *
Address:
City:
State:
Zip:
Day
Phone:
Evening
Phone:
Cell
Phone:
Product
Information
Year:
Make:
Model:
New
Used Lease
Demo/Program
Vehicle
Date
of Purchase:
Current
Mileage:
Warranty:
Manufacturer
Warranty
Extended Warranty
Service Contract
"As Is"
Problem
& Repair
Information
Engine,
Trans- mission
Suspension,
Steering
&
Brakes
Electrical
System
Body,
Paint
&
Interior
Repair
Attempts
Repair
Attempts
Repair
Attempts
Repair
Attempts
Heating/
AC
Leaks
Noises
Other
Repair
Attempts
Repair
Attempts
Repair
Attempts
Repair
Attempts
The
total number of
days the
vehicle has been
in the shop for all
problems:
Additional
Comments:
DISCLAIMER: By
submitting this
form, I understand
that I am not
entering into any
attorney-client
relationship with
Simanovsky &
Associates.
This is merely a
request for
information.
No representation
shall be
undertaken without
a written terms of
representation.
NOTICE
TO GEORGIA CONSUMERS:
Simanovsky & Associates
and www.GeorgiaLemonLaw.com
are not affiliated with the
State of Georgia Office of
Consumer Affairs, the
administrator of the Georgia
Lemon Law. Simanovsky
& Associates is a
private law firm that offers
representation to consumers
with Lemon vehicles and
other produat no cost cts to
you, the consumer. We
seek to recover our
attorney's fees directly
from the manufacturer and/or
dealer.
