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.

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Tony

1988 300E Metallic Blue Black/light Gray MB-Tex leather interior

MBCA Member