Marshall Bros. Lincoln-Mercury

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Personal Information

Full name

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City

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Evening Phone

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Information Needed About Your Vehicle:

1999 1998 1997 1996 1995 1994

Ford Lincoln Mercury Ford Light Truck

Model

Current Mileage

Approximate Mileage Per Year

Warranty Start Date (If Known)

VIN# (if available)

Type Of Coverage: PowerTrainCare BaseCare ExtraCare PremiumCare

Time Desired: 3-Year 4-Year 5-Year 6-Year

Mileage Desired: *36,000 48,000 60,000 75,000 100,000

Usage: Personal Commercial

Drive Type: 2 Wheel Drive 4x4 or All Wheel Drive

Engine: Gas Diesel

Supercharged or Turbocharged?: Yes No

Ineligible Vehicles: Taxis, Livery, Shuttle/Commuter, Ambulances, Tow Trucks, any vehicle equipped with Snowplows, and the Mustang Cobra R.

Note: F250/F350, F-Super Duty, Econoline Cab Chassis or Strip Chassis do not qualify for the standard plans. PowerTrainCare or BaseCare may be quoted separately for these vehicles.

*Not available with 3 year plan.

Additional Information/Comments:

How do you want the quote delivered?

E-Mail
Telephone Mail
FAX

Personal Information

Full name

Address

City

State

Zip

E-Mail Address
(Required)

Day Phone

Evening Phone

Fax

Information Needed About Your Vehicle:

1999 1998 1997 1996 1995 1994

Ford Lincoln Mercury Ford Light Truck

Model

Current Mileage

Approximate Mileage Per Year

Warranty Start Date (If Known)

VIN# (if available)

Type Of Coverage: PowerTrainCare BaseCare ExtraCare PremiumCare

Time Desired: 3-Year 4-Year 5-Year 6-Year

Mileage Desired: *36,000 48,000 60,000 75,000 100,000

Usage: Personal Commercial

Drive Type: 2 Wheel Drive 4x4 or All Wheel Drive

Engine: Gas Diesel

Supercharged or Turbocharged?: Yes No

Ineligible Vehicles: Taxis, Livery, Shuttle/Commuter, Ambulances, Tow Trucks, any vehicle equipped with Snowplows, and the Mustang Cobra R.

Note: F250/F350, F-Super Duty, Econoline Cab Chassis or Strip Chassis do not qualify for the standard plans. PowerTrainCare or BaseCare may be quoted separately for these vehicles.

*Not available with 3 year plan.

Additional Information/Comments:

How do you want the quote delivered? E-Mail Telephone Mail FAX Personal Information

Full name Address City State Zip E-Mail Address (Required) Day Phone Evening Phone Fax