Certificate Authenticity Form – Fill Out and Use This PDF

For Internal Use

Only

Certificate of Authenticity Order Form

Section 1: Customer Details

Title ______ First Name ___________________________________ Surname ______________________________________

Title

Address

Address Line 1 ________________________________________

Address Line 2 ________________________________________

Address Line 3 ________________________________________

Address Line 4 ________________________________________ Postcode ______________

Contact Details

Telephone 1 _________________________________ Telephone 2 ____________________________________

Email ___________________________________________

Section 2: Vehicle Details

Vehicle Identification Number (VIN) ________________________________________ Vehicle Reg. _____________________

Model Year / Model Type ____________________________
Date and Place of Purchase _______________________________________________________________	 Still Own

Section 3: Payment Details

Cost:	Porsche Club GB Members – Free of Charge*	 Club Membership number ____________
	Non Porsche Club GB Members – £65.00	
	Payment by Cheque / Postal Order enclosed	
	Copy of Proof of Ownership documents enclosed	

Please provide any required payment via cheque, made out to: Porsche Cars Great Britain Limited

Send this completed form and payment (if applicable) with a copy of your proof of vehicle ownership, (V55 Document or Purchase invoice ) to the following address:

*Offer limited to personal use only. Certificates for Commercial use charged at £65 per certificate.

Send this completed form and payment (if applicable) to:

Porsche Cars Great Britain Limited, Bath Road, Calcot, Reading, RG31 7SE or email customer.assistance@porsche.co.uk and Fax 01189 165 199. For further information please call 01189 191 744.

Please allow 2 weeks for processing of your Certificate of Authenticity, to be delivered to your address - as above.

Signature ___________________________________________ Print Name __________________________________________

Date _____________________

Porsche Privacy Commitment

We feel strongly about protecting your privacy, so your information will be held by Porsche Cars Great Britain Limited in accordance with the Data Protection Act 1998. Information we hold about you may be used for research and analysis or to contact you with relevant offers, invitations or information about our products, services or events. We may contact you by mail, telephone, fax, SMS or e-mail, if you have provided the relevant information. Your information will only be used by Porsche (this includes Porsche Cars Great Britain Limited, Porsche Centres, our associated companies or agents). Please tick this box if you do NOT wish to be contacted by Porsche . To access or update your information please call 08457 911 911.