Porsche Heritage Club Registration Form - Porsche Centre Hong Kong and Macau

Confirm the booking

Confirm the booking of Porsche Exclusive Classic Repair Certificate ($5,500) in 30% off with free gifting – Tyre pressure gauge with leather case for all Porsche models
*Offer valid while stocks last

I/ Owner’s Information :

* Mandatory fields

Salutation*

Mr.
Mrs.
Miss
Dr.

Name*

Family Name Middle Name Given Name

Company Name

Email Address*

Mobile No.*

Office Tel No.

Fax No.

II/ Vehicle Information for Porsche Classic Car

Porsche Model Type*

Model Year

Engine Capacity (C.C)

Model Color

Engine No.

Chassis No. :

Vehicle Registration No.*

Date of Birth

Correspondence Address*

Address Line 1 Address Line 2 District Region

III/ Vehicle Registration Document :

Document(s)*

Drop files here or

Accepted file types: jpeg, jpg, png, pdf, Max. file size: 10 MB.

Document(s)

Drop files here or

Accepted file types: jpeg, jpg, png, pdf, Max. file size: 10 MB.

Consent*

Jebsen Motors Limited (“Jebsen”) maintains a strict privacy policy in respect of all personal data collected in accordance with the Personal Data (Privacy) Ordinance. For information about the goods and services provided by the Seller, its marketing subjects, Privacy Statement, and how it uses and transfers personal data collected, the customer may access here for the Privacy Statement. By checking this box, I agree that Jebsen may use my personal data collected during the course of this campaign in the manner set out in the Privacy Statement and for direct marketing of its goods and services, and to transfer my personal data to its business partners (including Dr. Ing. h.c. F. Porsche AG, Porsche China, Jebsen Motors limited) for direct marketing purposes.*

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Porsche Heritage Club
Registration Form

Hung Hom

Tuen Mun

Chai Wan

Macau