Mercedes-Benz Warranty Services Extranet New User Request Form.
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Please complete ALL details on this form and press send.
Failure to accurately complete this form will delay the processing of your request.
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Firstname
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Surname
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Retailer
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Telephone
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Email
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Job title
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Please confirm why you require system access
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Please note that system security is of the utmost importance to Mercedes-Benz Warranty Services.
For this reason we reserve the right to refuse system access.
Mercedes-Benz Warranty Services will contact you directly by phone or Email to inform you
if your application has been successful – this will be within 2 – 3 working days of receipt of this (accurately completed) form.
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