Export Request Form - Mazda USA [PDF]

You should receive the manufacturer documentation by e-mail, OR only if requested - by fax or mail in approximately 10 b

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Mazda North American Operations USA/CANADA IMPORT/EXPORT REQUEST FORM Please Complete Entire Form and Email to: [email protected] Owner Information First & Last Name: Current Address: City, State, Postal Code: Daytime Telephone: Fax: E-mail: Unless otherwise stated, compliance letter will be returned via e-mail

Vehicle Information Year:

Model:

Vehicle Identification Number (VIN): Date of Manufacture (located in driver's side doorjamb):

(DD/MM/YYYY)

Current Mileage/Kilometers:

Miles

KM

(Please check)

Please check which applies: Vehicle is being exported from US to Canada (Recall Clearance Letter)

Abbreviate State or Province:

Vehicle is being exported from Canada to the U.S. - > (Letter of Compliance)

Return this form by

Email: [email protected] Mail:

Mazda North American Operations Attn: Customer Experience Center – Import/Export 7755 Irvine Center Drive Irvine, CA 92618-2922

You should receive the manufacturer documentation by e-mail, OR only if requested - by fax or mail in approximately 10 business days. If you have any questions, please contact the U.S. Department of Transportation at (202) 366-0123 or (888) 327-4236 or at www.nhtsa.dot.gov or contact Canada's Registrar of Imported Vehicles at (888) 848-8240 or at www.riv.ca. To learn more about Mazda, please visit our web site at www.mazdausa.com or www.mazda.com.

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