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Name	First name Last name
Country
Postal code
Address	Street,City (Example: 440 North Wolfe Road,Sunnyvale) State name (Example: CA) Separate the address into two fields. Make sure to write down the building name
Phone number	- -
E-mail address	(Example: info@example.com) Input twice for confirmation
Vehicle maker
Vehicle model
Vehicle chassis no
Vehicle engine model
Detail (1000 characters or less)