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Get Supports The Mobility Needs Of Lexus Owners And - Erickson Mobility

LE MODEL YEARS ARE 2001, 2002, AND 2003 VEHICLE MUST BE ADAPTED WITHIN 12 MONTHS OF DELIVERY DATE Application must be completed and submitted within 90 days of vehicle adaptation CUSTOMER & VEHICLE INFORMATION Program elements include: LEXUS DEALERSHIP INFORMATION & CERTIFICATION Lexus Mobility Assistance (PLEASE PRINT OR TYPE) (MUST BE COMPLETED BY THE SELLING DEALERSHIP.) Name: Dealership Name: Daytime Phone Number: Dealer Code: Address: Contact Person: Provides cash reimburseme.

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