maIntenance and Warranty
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VMI/HONDA SERVICE INFORMATION FORM
Dear Honda Dealer Service Manager:
The Honda customer presenting this form to you is the owner of a Honda SUV converted by VMI Holdings, LLC (VMI) for wheelchair access
and/or other mobility features. The SUV has been brought by the customer to the VMI Mobility Equipment Dealer (“MED”) listed below
where it has been determined that the repair sought by the customer is most likely covered by the Honda Limited Warranty and should be
performed by an authorized Honda Dealer.
Description of Customer Problem(s):
MED Diagnosis:
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