[Required]Required Fields First Name: Last Name: Province: City/Municipality/District: Mobile phone: Telephone number E-mail: Confirm e-Mail: Model: Variant: Qty: AccountType: Individual Corporate Preferred Dealer 1: Select a Dealer HTB-Alabang HTB-Baliwag HTB-Batangas HTB-Cabanatuan HTB-Cagayan de Oro HTB-Cainta HTB-Calamba HTB-Cebu HTB-City of Baguio HTB-Clark HTB-Commonwealth HTB-Dasmarinas HTB-Davao HTB-General Santos City HTB-Iloilo HTB-Manila Bay Preferred Dealer 2: Select a Dealer HTB-Alabang HTB-Baliwag HTB-Batangas HTB-Cabanatuan HTB-Cagayan de Oro HTB-Cainta HTB-Calamba HTB-Cebu HTB-City of Baguio HTB-Clark HTB-Commonwealth HTB-Dasmarinas HTB-Davao HTB-General Santos City HTB-Iloilo HTB-Manila Bay Preferred Dealer 3: Select a Dealer HTB-Alabang HTB-Baliwag HTB-Batangas HTB-Cabanatuan HTB-Cagayan de Oro HTB-Cainta HTB-Calamba HTB-Cebu HTB-City of Baguio HTB-Clark HTB-Commonwealth HTB-Dasmarinas HTB-Davao HTB-General Santos City HTB-Iloilo HTB-Manila Bay w/ Special Requests: No Yes Upper Body Type / Special Requests Verification Privacy Policy: Privacy Policy Hyundai Asia Resources, Inc. (HARI) shall use the personal information written in this form to facilitate spare parts online orders, surveys and/or market research, customer satisfaction reviews, product development, and marketing communications from HARI, its affiliate companies, merchant partners to potential customers. HARI may share the information provided by you or about you with our employees, consultants, dealers, our affiliates, and other third parties to facilitate the abovementioned purposes. HARI does not divulge customer’s information to third parties without prior consent from its customers. Any changes to this policy will be published at https://www.hyundai.ph/Legal. To withdraw consent to HARI’s use of customer’s personal information, request access and/or correction of personal information, have any queries, comments or concerns, or require any help on technical or cookie-related matters, please feel free to contact inquiry@hyundai-asia.com. By submitting this request, I fully understand the above-stated terms and conditions contained in the Privacy Notice and hereby voluntarily agree that HARI may use, process, and store the information I have provided in accordance with the Privacy Notice.