| INSTALLATION APPOINTMENT FORM
|
First Name:
Last Name:
Street Address:
City:
Islamabad
Karachi
Lahore
Peshawar
Quetta
Rawalpindi
Other
Country:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
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Cameroon
Canada
Cape Verde
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Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
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Cook Islands
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Croatia (Hrvatska)
Cuba
Cyprus
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Denmark
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Eritrea
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Ethiopia
Faroe Islands
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Finland
France
French Guiana
French Polynesia
Gabon
Gambia, The
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
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Guinea
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Guyana
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Hungary
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India
Indonesia
Iran
Iraq
Ireland
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Jamaica
Japan
Jordan
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Kenya
Kiribati
Korea
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
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Mauritius
Mayotte
Mexico
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New Caledonia
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Niger
Nigeria
Niue
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Norway
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Turkey
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Tuvalu
Uganda
Ukraine
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Uruguay
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Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Yemen
Yugoslavia
Zambia
Zimbabwe
Phone:
(
)
city code number
Fax:
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)
Mobile:
Email:
How did you hear about us?:
Newspaper Ad
Outdoor Hoarding
Website
Poster / Flyer / Brochure
Search Engine
Word of Mouth
Other
Product:
StarHome
StarTrac
StarSatellite
StarWorld
Customized Solutions
Appointment Date:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
01
02
03
04
05
06
07
08
09
10
11
12
2007
2008
2009
2010
2011
2012
Appointment Time:
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
Number of Vehicles:
1
2
3
4
5
6
7
8
9
10
Vehicle Make:
Suzuki
KIA
Toyota
Honda
Hyundai
Daihatsu
Cheverolet
Nissan
BMW
Mercedes
Mitsubishi
Daewoo
Fiat
Other
Vehicle Model:
2.0 D
Corolla
Civic
City
Mehran
Alto
Cultus
Classic
Potohar
Bolan
Sportage
Pajero
Land Cruiser
Baleno
Margalla
Swift
Santro
Spectra
Pride
Racer
Cuore
Accord
Charade
Parado
Sunny
Lancer
Gallant
Uno
Year of Manufacture:
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
Vehicle Type(s)
Petrol
Diesel
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