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Your factory collection

Collection date agreed with Porsche Centre * MM 1 2 3 4 5 6 7 8 9 10 11 12 DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 YYYY 2010 2011 2012 2013 2014 2015

Stay planned from * MM 1 2 3 4 5 6 7 8 9 10 11 12 DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 YYYY 2010 2011 2012 2013 2014 2015

Stay planned until * MM 1 2 3 4 5 6 7 8 9 10 11 12 DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 YYYY 2010 2011 2012 2013 2014 2015

No. of adults * 1 2 3 4 5 6 7 8 9 10 No. of children * 0 1 2 3 4 5 6 7 8 9 10 Age of children

Your Porsche Centre *

Name of salesman *

Personal Data

Salutation * - - - Ms Mr Title - - - Dr. Prof. Prof. Dr. Other

First name

Surname *

Date of birth MM 1 2 3 4 5 6 7 8 9 10 11 12 DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 YYYY 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000

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Telephone (at home) Please enter at least one phone number in a field.

Telephone (office) Please enter at least one phone number in a field.

E-mail address Please enter a valid e-mail address. Such as e.g.: mustermann@porsche.de Fax

My Request

Transfer Leipzig/Halle Airport or railway station Leipzig/Halle Airport to Porsche Leipzig [free of charge] Leipzig city centre to Porsche Leipzig (or vice versa) [fee charged]   Hotel City centre location / 5 stars City centre location / 4 stars   Gourmet Traditional Leipzig cuisine Internatinal cuisine Other requests   City City sightseeing tour City sightseeing tour with focus on   Culture Opera Gewandhaus Theatre Cabaret/varieté Museums/exhibitions/galleries Other requests   Do you have any other requests?

Questions / Confirmation of date by

Telephone (at home)

Telephone (office)

Email Address

Fax

Data Protection Notice

I wish to be informed about Porsche news in the future. To this end, I consent to my personal data provided here being stored in a central database administered by Porsche Leipzig GmbH. Moreover, I consent to this data being merged with any other data from the Porsche Group by Porsche Leipzig GmbH, Dr. Ing. h.c. F. Porsche AG, the responsible Porsche sales subsidiary, the responsible Porsche Centre and where applicable the responsible Porsche Financial Services company, as well as service providers commissioned in their name and on their behalf. Furthermore, I consent to the aforementioned companies using this data for personalised customer and prospect support, for surveys on customer satisfaction and information on vehicles, as well as vehicle-related services provided by Porsche, and to said companies contacting me by letter post for these purposes. TUI Deutschland GmbH/ Brand airtours may process and use my data only in context with the Porsche Travel Club.
I also consent to

the telephone number I have provided   the e-mail address I have provided

being used by the aforementioned companies in order to contact me for the aforementioned purposes. I may revoke a declaration of consent by notifying Porsche Leipzig GmbH at any time - brief notification to this effect shall suffice.

I consent to my data being used for marketing and public-opinion research

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