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Surname *
Name *
Telephone *
Email *
Group / Car Model *
A - FIAT PANDA OR SIMILAR
B - HYUNDAI I20 OR SIMILAR
C - SEAT IBIZA OR SIMILAR
D - CITROEN CACTUS OR SIMILAR
E - CHEVROLET AVEO (automatic) OR SIMILAR
F - OPEL ASTRA ESTATE OR SIMILAR
G - FIAT CUBO / CITROEN BERLINGO OR SIMILAR
H - OPEL ZAFIRA / LANCIA PHEDRA OR SIMILAR
I - OPEL VIVARO / FIAT SCUDO OR SIMILAR
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Terms *
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