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David Ware - SHO Defender

new 5/21/02

1. VIN#s

2. Date of malfunction

3. Where did the malfunction take place (highway, city streets, driveway, parking lot, etc.)

4. Odometer reading at time of malfunction

5. How fast were you traveling?

6. Were you accelerating or staying at a constant speed?

7. Estimated date of purchase, new or used?

8. Estimated Odometer reading at time of purchase

9. Full Name, address, and a good phone# to reach you at during the day and night.

10. Brief description of the time of events leading towards the malfunction.

(what did you hear and see before, during, and after the malfunction)


11. Customer service phone # you called and the name of the person you talked to. (if you can remember)

12. Did you feel satisfied with the answers customer service


13. Which dealership did you take your vehicle in for service?

(name,address, phone#)

14. What was the cause of failure determined by the dealer?

15. What was the cause of failure determined by you?

16. How much was your statement? (I hope you kept your receipt)


17. What can FOMOCO do to make you a satisfied Ford owner?






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