Black plate (410,1)
2. Year and model of vehicle
3. Vehicle Identification Number (17 digits, noted on your registration or title or located on
the upper driver's side corner of the dash)
4. Purchase date and current mileage
5. Your dealer's name and location
6. Your question(s)
9-12
Customer Information and Reporting Safety Defects
Customer Assistance
Mazda5_8DW4-EC-14H_Edition3 Page410
Friday, January 16 2015 4:27 PM
Form No.8DW4-EC-14H