Chrysler Jeep Ticaret A.Ş.
TEM Otoyolu Hadımköy Çıkışı
34900 Büyükçekmece
İstanbul / Türkiye

Contact Person: Mert Uygun
E-mail: mu46@chrysler.com
Telephone: +90 212 867 38 21
Fax: +90 212 867 44 62

JEEP Special Sales Form

Personel Information:

Country
Name
Surname
Job Title
Gender male female
Nationality
E-mail
Phone
Mobile
Address
City
Postal Code

Current Car Park of household / institution :

Make
Model
Amount
   
Make
Model
Amount
   
Make
Model
Amount
   
Planned Purchase of following CHRYSLER vehicles :

Model
Model
Model

Notes / Remarks :