Giza National Automotive Co.

Authorized Dealer for Mercedes-Benz passenger cars

Client Data Form P. 1/2 (To be Filled By The Client)

Customer Code Date:

Sales Consultant

How did you reach Mercedes-Benz?

Walk In Phone Internet Outside Visit

Prospect Details

Salutation( Mr/ Ms / Mrs)

Name

Mailing Address

PO Box District City

Tel No. Mob No.

Email

Company Profession

Gender Marital Status

Date of birth No. of House Hold (Family) Religion

How do you know about Mercedes-Benz?

Newspaper Magazine TV Radio SMS

Email Web Direct Mail Billboard Event

Friend

Desired Vehicle

Class Type MY

Interior Color Exterior Color Budget

Test Drive Offer

Yes No Accepted Rejected

Reason of rejection

Current Vehicle Information

Brand Model/Year

Average period of usage / vehicle

Client Signature
 P. 2/2 (For Internal Use Only)

Internal Use ONLY

Recommended Vehicle by Sales Consultant

MB Type Class Category

Interior Exterior

Comments

Customer Rating According to Sales Consultant ( Internal Use Only)

Hot Warm Cold

Send Offers & Products Updates Yes No

How would you prefer Mercedes-Benz to contact you?

SMS Phone Call Email

Sales Consultant Signature