Get Mercedes Form Of Ownership

Cycle Carriage Industries Pte Limited Request Form for Change of Vehicle Ownership Exclusive Dealer Company No. 196400367W Fax 6866 1750 Email mbmktg cyclecarriage. com.sg Change of Car Registration Number Please attach photocopy of Vehicle Registration Card for veri cation Old Car Registration No. New Car Registration No. Retention of Car Registration Number Please attach photocopy of Vehicle Registration Card for veri cation Car Registration No. Old Chassis No. New Chassis No. Change of Vehicle Ownership Please attach photocopy of Vehicle Registration Card for veri cation I am now the owner of Make/Model Name Date of Birth Mailing Address Postal Code Mobile Phone Telephone H Email Address OR I am no longer the owner of I consent to the collection use and disclosure of my personal data for the purposes of receiving survey forms receiving information on special launches events promotions receiving marketing messages including information on new products or models and or the purposes of the maintenance of vehicle owner record service history record and record of repairs via SMS telephone call email and post from the Cycle Carriage group of companies. My consent is voluntarily given and I am aware that I may withdraw my consent any time by sending a noti cation addressed to Mercedes-Benz Marketing at mbmktg cyclecarriage. Cycle Carriage Industries Pte Limited Request Form for Change of Vehicle Ownership Exclusive Dealer Company No* 196400367W Fax 6866 1750 Email mbmktg cyclecarriage. com*sg Change of Car Registration Number Please attach photocopy of Vehicle Registration Card for veri cation Old Car Registration No* New Car Registration No* Retention of Car Registration Number Please attach photocopy of Vehicle Registration Card for veri cation Car Registration No* Old Chassis No* New Chassis No* Change of Vehicle Ownership Please attach photocopy of Vehicle Registration Card for veri cation I am now the owner of Make/Model Name Date of Birth Mailing Address Postal Code Mobile Phone Telephone H Email Address OR I am no longer the owner of I consent to the collection use and disclosure of my personal data for the purposes of receiving survey forms receiving information on special launches events promotions receiving marketing messages including information on new products or models and or the purposes of the maintenance of vehicle owner record service history record and record of repairs via SMS telephone call email and post from the Cycle Carriage group of companies. My consent is voluntarily given and I am aware that I may withdraw my consent any time by sending a noti cation addressed to Mercedes-Benz Marketing at mbmktg cyclecarriage. com*sg. I have been acquainted with my rights to access my personal data* I con rm that the information given above is correct and complete and agree to abide by the conditions stated* NRIC No Date Signature For O cial Use Only Information received on Received by Information updated on Updated by Complex Mercedes-Benz Center Alexandra/Pandan Loop/Eunos Mercedes-Benz are registered trademarks of Daimler AG Stuttgart Germany 301 Alexandra Road Singapore 159968 Tel 6866 1888 Fax 6866 1601 www.