GENERAL INFORMATION
Warranty:
In-Warranty
Out-of-Warranty
Dealer Name:
Date:
Country:
Austria
Belarus
Belgium
Bosnia-Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Hungary
Iceland
Ireland
Israel
Italy
Latvia
Lithuania
Macedonia
Malta
Moldova
Netherlands
Norway
Poland
Portugal
Romania
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Subject:
CONTACT INFORMATION
Dealer Number:
Contact Person:
Telephone Number:
e-Mail Address (as registered with MME):
VEHICLE INFORMATION
Brand:
Model:
ASX
Attrage
Eclipse Cross
i-MiEV
L200
Lancer
Outlander
Pajero
Space Star
Vehicle Registration Date:
VIN:
Model Year:
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Mileage:
km
miles
Engine Type:
Petrol
Diesel
PHEV
PRODUCT INFORMATION
Product Type:
Amplifier
CD/Tuner
Display
Navigation
RSE
Model Name:
Part Number:
Serial Number:
CLAIM DETAILS
Defect Category:
All
BT audio
CD
DAB
Display
DVD
Navigation
Phone
Radio
SD
USB
Occurance:
Occasionally
Frequently
Very Frequently
Always
Was Service Mode Consulted?
Yes
No
Media inserted (Select more than one option as necessary, or leave blank if no media inserted):
SD inserted
CD(s) inserted
How many CDs? :
1
2
3
4
5
6
Navigation Map Version:
Failure Description:
Using your personal information
Mitsubishi Electric Europe B.V. (MEU, we/us/our ) will collect and use information about you in the course of your interactions with us, such as your name and contact details. Full details about the data types we collect and what we use this for and your related rights is set out in our online privacy policy at http://emea.mitsubishielectric.com/en/utilities/privacy/index.page. Please familiarise yourself with this policy and check it from time to time for updates as it supplements this notice.
We would like to use this notice to draw your attention to the following:
Purposes of use: (i) to process any orders you might have placed with us and to provide the requested products or services; (ii) to improve our products and services; (iii) to monitor service delivery and respond to queries to ensure service quality, compliance with procedures and to combat fraud; (iv) to inform you of changes; (v) to reorganise or make changes to our business; (vi) in connection with legal or regulatory obligations; and (vii) marketing.
Who your data is shared with: We may pass your information to third parties such as service providers, agents, advisors and affiliates of MEU that perform activities on our behalf. We may also pass your information to regulatory, anti-fraud and law enforcement bodies as required in connection with legal obligations or to combat fraud.
Export: We may process data outside the UK and the European Economic Area (EEA) where data protection laws may provide less protection than in the UK and the EEA. The mechanisms we use to safeguard personal data relating to your account in such countries are described in our privacy policy.
Marketing: We would like to provide you with details of products and services that we offer which we think you might find interesting. If you would like to receive such information, please tick all the boxes below that apply. If at any time you change your mind, please let us know by completing our General Data Protection Enquiry form.
I would like to receive communications about products and services that MEU thinks will interest me by (check all that apply):
SMS
email
telephone
post