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TOYOTA TEST DRIVE EVENT
Full Name (as per IC)
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Mobile Number
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Email
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Gender
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Age Range
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20 & Below
21 - 29
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40 - 49
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What Brand/Model are you driving currently
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When do you expect to buy a new car?
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Which state are you currently residing in?
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Are you a
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staff?
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Which industry or field does your organization operate in?
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Please specify which industry or field does your organization operate in
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What are your primary areas of interests?
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Outdoor Activities (Recreational and leisure activities: Camping, hiking etc)
Travel and Exploration
Gaming
Music
Sports and Fitness (Tennis, football, golf, yoga etc)
Cultural Interests (Art, language, literature, history etc)
Technology and Innovation
Fashion and Style
Collecting luxury timepieces/jewelries/bags/shoes
Investments
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Which of the following car model you are interested in? (Multiple Selection)*
Please select one or multiple preferred Car
Are you interested to test drive?
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Yes, I'd like to test drive
No, I'd like to register my interest only
Please select either one
Dealer
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Please select Dealer
SA Name
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NRIC
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Driver’s License (Front)
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Driver’s License (Back)
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Driving License Expiry Date
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Car Models
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Reg Number
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Test Drive Date
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Time Slot
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5pm
6pm
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The Malaysia Personal Data Protection Act has taken place effective 15 November 2013. We would like to get your consent to use your personal information for our marketing communications.
I agree to share my personal information with UMW Toyota Motor Sdn Bhd for marketing communications.
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