Contact and Dealer Information

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1. Please provide all contact information requested below:

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2. Please list ALL manufacturers and equipment models that are CORE-eligible that you intend to submit vouchers for:

1) Make 1, Model 1
2) Make 2, Model 2

If you are unsure as to which models are CORE eligible, please refer to the CORE Vehicle Catalog.

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3. Do you have servicing stations in California? If so, where?