The form does not have any place for the dealer to verify. My dealer gave me a copy of the form with no indication that it needed anything from them. I completed it and sent it into MBZ. In addition to the "awards" based upon mileage you may be eligible for a lapel pin and certificate based upon the total mileage you may have accumulated in any number of MB cars.
<LI> 1988 300E Metallic Blue Black/light Gray MB-Tex leather interior
<LI> MBCA Member