of8295p300003a

Notice for TELE AID service, form

Type of · emne 82.95 · version 0100 · 2000-09-21

Gælder for: MODEL 203, 208, 210, 215, 220 with CODE (855) TELE AID

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Placering

Funktionsgruppe 3 Karrosseri › 82 El-system, karrosseri › 82.95 Nødopkaldssystemer — Serie 203 · Serie 208 · Serie 210 · Serie 215 · Serie 220

EinPAS 31 Kommunikation/information/underholdning › 31.22 Nødopkaldssystem › 31.22.1 Grundinformation — Serie 203 · Serie 208 · Serie 210 · Serie 215 · Serie 220

OF82.95-P-3000-03A

Notice for TELE AID service, form

MODEL 203, 208, 210, 215, 220 with CODE (855) TELE AID

Branch/Agency company no. Customer

Vehicle ident no. Repair order no.

Tester: Name Date

License plate no. Original registration date Model Engine no. Odometer reading: km/miles

Notice for TELE AID service

Hereby a cancel the TELE AID service.

I am informed that notice of the TELE AID service emergency call, telediagnosis and MB information is no longer available in my vehicle.

Mercedes-Benz informed me that due to this measure additional passive safety of an automatic or manual TELE AID emergency call is no longer given.

Deauthorization date __ __.__ __.__ __ (DD.MM:YY)

GSM number for TELE AID SIM card 01 __ __ / __ __ __ __ __ __ __ __

Chassis number WDB __ __ __ __ __ __ __ __ __ __ __ __ __ __

Stamp of dealer and signature date, customer signature

Name of seller Name of customer