Participant Registration

Title* Title* Mrs Mr

Firstname

Lastname*

Zip-code

City*

E-Mail-adress*

Phone*

Vehicular brand*

Model*

PS/HP

Drive type Drive typeBenzinElektroPlug In HybridDieselHybrid

Condition at point of purchase*: (unfortunately, used-vehicle owners cannot participate) Condition at point of purchase*: (unfortunately, used-vehicle owners cannot participate) New vehicle One-day registration Demonstration vehicle Annual vehicle (not older than 12 months)

First registration*

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