Drive For A Cause
Event details:
Date: Sunday, 19th March 2023
Time: 05.00 pm
Meet up point: UBD Chancellor Hall parking lot
Participation rate: BND 180
Your personal details
Salutation
Mr
Mrs
Ms
First Name
Last Name
Email
Phone
Car model
Car plate number
Car colour
Shirt Size (Standard EU size)
XS
S
M
L
XL
XXL
XXXL
Specifics (e.g. vegetarian, allergies)
Select preferred way of contact
Phone
Email
Will you bring an additional guest?
Yes
No
Accompanying guest rate: BND140
If yes, please fill in their details below.
First name
Last name
Date of Birth
Email
Phone
Shirt size (Standard EU size)
XS
S
M
L
XL
XXL
XXXL
Indemnity & consent to data processing for further purposes
I hereby confirm that the information provided herein is accurate, correct and complete. I understand and willing to accept any risks that may occur during the event and will not hold QAF Prestige Sdn Bhd accountable.
I agree to indemnify and keep indemnified QAF Prestige Sdn Bhd, its agents, officers, and employees from and against all losses, damages, actions, claims, costs, expenses, disbursements, legal fees, penalties and demands in respect of any accident, criminal act, loss and/or damage to the Vehicle (including its accessories and spare parts), death of, or injury to, the Participant and/or such third parties.
I consent to the collection, use and disclosure of his Personal Data by QAF Prestige Sdn Bhd, its related corporations and affiliates and their authorised service providers and relevant third parties, in accordance with the purposes set out in the Data Protection Policy available at https://www.porsche.com/pap/_brunei_/privacy-policy/ in order to carry out the object of this Agreement. For the avoidance of doubt, the Participant agrees that their pictures and/or videos that are taken during the Event may be used for marketing and communication purpose.
I confirm and agree to accept this Indemnity Form and fully understanding its contents and voluntarily accepts the aforesaid risk and consented to the use of data for the purpose aforementioned above.
In addition to individual customer and prospective customer care by post, I would like to be contacted via the following communication channels (please tick the appropriate boxes):
E-Mail
Phone