TradeClub Registration Form. * Indicates a mandatory field Preferred TradeClub Retailer *Select a Retailer from the drop down list. Select Ingham Prestige Ingham-Sears Mercedes-Benz Auckland Mercedes-Benz Botany Mercedes-Benz Christchurch Mercedes-Benz Dunedin Mercedes-Benz Hawkes Bay Mercedes-Benz North Shore Mercedes-Benz Wellington If you do not know your Retailer, locate a preferred Retailer here . Business Contact Details *Title Select Mr Mrs Miss Ms *First name *Surname *Job title * Phone Mobile *Email Business Details *Company name *Address Suburb *Town/City *Postcode Tick if your postal address is different to above Postal address Suburb Town/City Postcode NZBN ABN must be 11 digits, no spaces ACN must be 9 digits, no spaces *Outlet type Select one Independent workshop Independent crash repairer Independent workshop and crash repairer Fleet workshop Franchised fast-fit or service outlet Mobile mechanic / servicing Used car sales outlet Retail performance shop Other-make Retailer If you specialise in a particular field please let us know Other make Retailer Independent specialist by vehicle make Specialist by job type *Number of technicians / panel beaters Select One 1 2 3-5 6-10 11-15 16+ Unknown * Number of workbays Select One 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 *Are you an Authorised WOF Testing Centre? Yes No I would like to receive direct marketing communications including news and promotions via: Post Email Text Phone PRIVACY INFORMATION COLLECTION STATEMENT Your personal information is being collected by Mercedes-Benz New Zealand (MBNZ) in accordance with its Privacy Policy and the New Zealand Privacy Principles ("NZPPs"). Future Communications MBNZ are collecting your personal information for the primary purpose of your registration to the Mercedes-Benz TradeClub Program. If your application is successful you can change your marketing preferences at any time by logging into the TradeClub website www.tradeclub.mercedes-benz.co.nz. If your registration does not proceed your information will be removed from the TradeClub database. MBNZ will use and disclose your personal information to our employees, related companies, and Mercedes-Benz Group companies, our authorised Retailer network and/or third-party service providers acting on our behalf. Some of the recipients of your personal information may be based overseas, including but not limited to Germany, the United States, Singapore and the United Kingdom. By selecting this box, I acknowledge and agree that my personal information is collected by Mercedes-Benz New Zealand Ltd (MBNZ) in accordance with its Privacy Policy. I have read the full terms and conditions and wish to become a member of Mercedes-Benz TradeClub. Please make sure that your ABN/ACN number is correctly formated