Customer Information Update Form
Customer Type
*
Individual Owner
Corporate/Company Owner/User
Owner’s Representative
Individual Owner
Customer Name
*
Salutation
First Name
Last Name
Nickname
*
Birthdate
*
-
Month
-
Day
Year
Primary Mobile No
*
09171234567
Other Contact No
09171234567
Email
*
Confirmation Email
example@example.com
Facebook Account
Residence Address.
*
Home No.,Street,Barangay,City,Province
Do you have a representative to be also contacted regarding service appointment, updates, and promos?
Yes
No
Representative's Name
*
Mobile No.
*
Email
*
Confirmation Email
example@example.com
Relationship to the owner
*
Corporate/Company Owner/User
Company Name
*
Vehicle End User
*
Salutation
First Name
Last Name
Position
*
Company Address
*
Bldg. No.,Street,Barangay,City,Province
Primary Mobile No.
*
09171234567
Other Contact No.
Email
*
Confirmation Email
Please provide your active email to receive service/repair updates, latest billing etc.
Office No.
*
-
Area Code
Phone Number
Owner’s Representative
Representative's Name
*
Salutation
First Name
Last Name
Affiliation to the Vehicle Owner
*
Mobile No.
*
09171234567
Email
*
Confirmation Email
Please provide your active email to receive service/repair updates, latest billing etc.
Vehicle Owner's Name
*
Salutation
First Name
Last Name
Nickname
*
Birthdate
*
-
Month
-
Day
Year
Primary Mobile No.
*
09171234567
Email
*
Confirmation Email
Please provide your active email to receive service/repair updates, latest billing etc.
Facebook Account
Other Contact No.
Residence Address
*
Home No.,Street,Barangay,City,Province
Vehicle Details
Vehicle Model To Be Serviced
*
Conduction/Plate No.
*
No. of Vehicle Owned (Mercedes-Benz, Chrysler, Dodge, Jeep, Ram)
*
Single vehicle
Multiple vehicles
For multiple vehicles, please provide other vehicle models and conduction/plate no.
*
Ex. CLA 180, ABC123
Would you like to apply your updated information to all the vehicles you have listed with us?
*
Yes
No
If no, please provide the vehicle model and conduction/plate no. you would like to apply your updated information
*
In compliance with the Data Privacy Act,and its implementing Rules and Regulations. I hereby allow CATS Motors Inc. to keep and use my information for current future transactions and quality assurance purposes which includes sharing my information with affiliates and necessary third parties for any legitimate purposes.
I agree
Signature
*
Clear
Submit
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