Mercedes-Benz Driving Events 2012/2013 - 300 Multiple Choices

160
01 onroad summer 02 offroad summer 03 travel experience
Request for information on Mercedes-Benz off-road training and trips 2012/2013.
Mercedes-Benz Offroad, Gewerbestraße 10a, D-78345 Moos, tel. no. +49 7732 970-147, fax +49 7732 970-146
Please send me detailed information on the training ticked below.
02.1 Basic Training
Biberach
02.2 Advanced Training
Biberach
02.3 Advanced Training M-/G-Class
Biberach
02.4 Perfection Training
Biberach
02.5 Extreme Training
Biberach
Date:
Please send me detailed information on the trips ticked below.
03.1 Sand and Ocean
Abu Dhabi
03.2 The Beauty of Spain
Spain
Date:
05.1 Basic Compact Training Austria
Kitzbühel
05.2 Basic Training Austria
Kitzbühel
05.3 Advanced Experience Austria
Kitzbühel
Date:
Data Protection – Declaration of Consent
We would like to provide you with individual information
and advice. Therefore, we request your consent to use
your data. We will treat it confidentially and handle it
with due care.
I agree to allow Daimler and its authorized sales and service partners
to process and use my contact information, data on my vehicle and on
services that I have used in order to provide me with written information
and advice on products and services of Daimler AG and companies
associated with it, as well as for market research. Data can be
disclosed to Daimler AG, selected dealers/service partners within the
Daimler sales and service organization, and market research institutes
for these purposes.
Participant‘s details
Surname, first name
Street, house number
Telephone
Company
Post code/town/country
Email address
I also agree to be contacted for the above purposes by
the following means:
by telephone
by e-mail
If you do not want us to process and use your data, for legal reasons
we will unfortunately no longer be allowed to inform you about products
and services.
If you do not wish to receive information by post, please
check this box
If you wish to revoke your declaration of consent at a later date, please
contact Daimler AG HPC V420, 10878 Berlin.
Fax
03.3 Journey to the roof of the world
Word Tour
03.4 Arctic Circle
Finland
All trips (with the exception of Journey to the roof of the world) can also be undertaken
with a GLK-, M-, GL- or G-Class provided by Mercedes-Benz. The dates for trips may
alter. Detailed information will be forwarded to participants in good time ahead of the
trip concerned.
If you have provided us with consent to contact you at a previous time, please renew it; otherwise, for legal reasons, we will no longer be allowed to
provide you with information in the future.
If you no longer wish to be contacted in the future, you can object to the use of your data for provision of information on products, services and
market research. Please contact: Daimler AG, HPC V420, 10878 Berlin.
Place, Date
Signature