MARBELLA REGISTRATION FORM

Ensure you fill out all fields with *

Surname:                  *
First name:                *
Company:
Street and no:           *
City:                         *
Suburb                       *

Post Code or Zip        *      

STATE                 *
Country:                  *
Phone:                      *
Fax:
eMail: Primary           *

eMail  Secondary       *

 

If you use a hotmail or yahoo address please provide a reliable email contact from your ISP as well. Too many free email adddresses submitted are invalid.

Email addresses that are incorrect will result in the Registration being discarded

Model of GPS          *
Serial Number          * Found on rear of unit under Bar Code (Numeric)
Map Version             * To find this do the following

Load Destinator, MORE..Map Mngr..Select Map

Purchase Date          *    dd/mm/yyyy
Purchased From   Company.. Ebay Seller.. Private sale
Please check that you filled in the fields with *    Registrations will not be accepted by our autoprogram if you do not supply all required information

PLEASE SELECT" SUBMIT" ONLY ONCE

We will confirm your  details providing your email addressing is correct. Incorrectly addressed email registrations will be deleted. Send yourself an email using the supplied address to check it before submission of this form.
 

 
 
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