Registration

Note: Please register the company that procured the trucks – for groups of companies, please register the company that procured the most trucks

Name of the company to be registered including legal form*Street and House number*

ZIP code*City*Country*How many newly procured trucks (between 1997 and 2016) are to be registered?*Are you a member of one of the following associations?

Contact person

Mr. / Mrs.First name, surname*

E-mail*

I HEREBY AGREE THAT MY DATA MAY BE PROCESSED AND STORED FOR THE PURPOSE OF ANSWERING MY INQUIRY AND FOR CHECKING THE ENFORCEMENT OF MY CLAIMS. I HAVE READ AND AGREE TO THE DATA PROTECTION DECLARATION (Privacy Policy).*

* Required minimum data

Thank you for your interest. The application has been accepted.

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Contact

E-mail: service@truckreclaim.com