[Required]Required Fields First Name Last Name Province City/Municipality/District Barangay No. and Street Mobile phone E-mail Confirm e-Mail Preferred Dealer: Select a Dealer Alabang Muntinlupa Bacolod, Inc. Balintawak Baliuag Bulacan Batangas City Biñan Laguna Cabanatuan City Cagayan De Oro Cainta Rizal Cebu South Cebu, Inc. Central EDSA Clark Pampanga Commonwealth Avenue Dagupan Pangasinan Dasmariñas Cavite Dumaguete E. Rodriguez, Inc. General Santos Greenhills Ilocos Norte Iloilo, Inc. La Union Las Piñas Lipa Batangas Manila Bay Marcos Highway Marilao Naga City North EDSA Otis Pagsanjan Pampanga, Inc. Pasig City Pasong Tamo Puerto Princesa Quezon Avenue San Pablo Santa Rosa Santiago City Shaw Boulevard Southern Mindanao Sucat Road Tacloban Tagbilaran Tarlac Zamboanga City Car Model: Select a Vehicle Model HD45 GT HD78 GT HD170 HD260 EX6 County Xcient HD170 Car Year: Vehicle Identification No. (VIN)/ Chassis No.: Engine No.: Part Name/ Part No.: Quantity: Supporting Image: Parts Order List No Record Found Message Verification Privacy Policy: Privacy Policy Hyundai Asia Resources, Inc. (HARI) shall use the personal information written in this form to facilitate spare parts online orders, surveys and/or market research, customer satisfaction reviews, product development, and marketing communications from HARI, its affiliate companies, merchant partners to potential customers. HARI may share the information provided by you or about you with our employees, consultants, dealers, our affiliates, and other third parties to facilitate the abovementioned purposes. HARI does not divulge customer’s information to third parties without prior consent from its customers. Any changes to this policy will be published at https://www.hyundai.ph/Legal. To withdraw consent to HARI’s use of customer’s personal information, request access and/or correction of personal information, have any queries, comments or concerns, or require any help on technical or cookie-related matters, please feel free to contact inquiry@hyundai-asia.com. By submitting this request, I fully understand the above-stated terms and conditions contained in the Privacy Notice and hereby voluntarily agree that HARI may use, process, and store the information I have provided in accordance with the Privacy Notice.