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GENERAL INFORMATION
Warranty: In-Warranty
Out-of-Warranty

Dealer Name:
Date:
Country:
Subject:

CONTACT INFORMATION
Dealer Number:
Contact Person:
Telephone Number:
e-Mail Address (as registered with MME):

VEHICLE INFORMATION
Brand:
Model:
Vehicle Registration Date:
VIN:
Model Year:
Mileage:
Engine Type:

PRODUCT INFORMATION
Product Type:
Model Name:
Part Number:
Serial Number:

CLAIM DETAILS
Defect Category:
Occurance:
Was Service Mode Consulted?
Media inserted (Select more than one option as necessary, or leave blank if no media inserted): SD inserted
CD(s) inserted
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