Reimbursement Plan

Requirements for Reimbursement

If you meet all of the following requirements, you are eligible to receive reimbursement under this plan:

1. An authorized Mazda dealer has inspected your vehicle and completed the 2004 MAZDA6 02 Sensor Failure - No Illumination Recall 3105G.

2. You own or have owned a subject 2004 MAZDA6 within the VIN ranges:

3. You have paid for the inspection/reprogramming of the Powertrain Control Module (PCM).

4. You have an original or legible copy of the paid repair order or invoice receipt showing:

^ Description of the concern reported

^ Inspection/Reprogramming of the Powertrain Control Module (PCM)

^ Itemized part(s) and labor charges

^ Vehicle model and year, and vehicle identification number (VIN)

^ Repair date

^ Repair mileage

^ Name, address, and telephone number of the authorized Mazda Dealer or a licensed repair shop where such repairs were performed

^ Your name and address at the time of repair

5. Mail this reimbursement application form in the enclosed envelope to:

Mazda North American Operations
P0 Box 5049
Lake Forest, CA 92609-8549

Procedure for Reimbursement Request

Once your vehicle has been inspected and/or the Powertrain Control Module (PCM) has been reprogrammed by an authorized Mazda dealer, you may apply for reimbursement by doing the following:

1. Complete the Reimbursement Application Form found on the reverse side of this page.

2. Mail the Reimbursement Application Form with a legible copy of the paid repair order and/or invoice using the enclosed envelope.

3. Retain copies of the paid repair order or invoice and this application form for your records.

If you wish to correspond with Mazda regarding this reimbursement plan, please write to the above address and refer to your vehicle identification number (VIN).

Any reimbursement application form that is incomplete, illegible, or sent without the legible copy of the paid repair order or invoice will be returned for completion. If Mazda has any questions concerning your application for reimbursement, you may be contacted. Please allow 6-8 weeks for processing.





Reimbursement Application Form