Mazda Owner Update Form
Salutation
*
--None--
Ms.
Mdm.
Sir
Dr.
Mrs.
Mr.
Surname
*
First Name
*
Date of Birth
*
Car Plate
*
Make/Model
*
Mazda M2
Mazda M3
Mazda M5
Mazda M6
Mazda CX-3
Mazda CX-5
Mazda CX-8
Mazda CX-9
Mazda MX-5
Mazda MX-30
Mazda CX-30
Mazda CX-60
Mazda Biante
Years of Driving Experience
*
< 1 year
1-2 years
> 2 years
Address
*
Unit
Postal Code
*
Country
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint LUCIA
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Serbia
Zambia
Zimbabwe
Contact Number
*
Email Address
*
Lead Source:
Website
By providing your information, you consent to the collection, use and disclosure of your personal data by Trans Eurokars Pte Ltd in accordance with the Personal Data Protection Act 2012 and the purposes set out in our privacy policy available at
Eurokars Group Data Protection Policy
including to process and administer any service requests, carry out credit checks and statistical analysis, provide customer service and improve our services.
I have read the consent provisions relating to the collection, use, disclosure, retention, access, management and transfer of my personal data in the above terms and conditions and unconditionally agree with them.
Yes, I consent to the collection, use and disclosure of my personal data in order to be updated and receive marketing messages regarding exclusive marketing and promotional information and material about products and services, benefits, promotions and rewards including those of your marketing partners via email, SMS, voice call, fax or mailers.
Preferred channel to be contacted (Please tick accordingly):
Voice Call
SMS
Email
You confirm and agree that leaving any of the boxes above blank will not be treated as a withdrawal of any other consent(s) that you may have previously provided to us for the purposes stated above. For full details of how we use your personal information, or to withdraw your consent, please refer to our
Eurokars Group Data Protection Policy
Submit
Back to Mazda Website
Lead Source:
Website