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Registration
CoopersTestDrivers
Projekt COOPERS: registration of test person
Sex:
Mr.
Ms.
First Name:
Last Name:
E-Mail:
Telephone:
Age(25 - 65):
Valid driver Licence:
yes
no (for passenger car)
Experienced driver:
( minimum 3 years of driving
AND 10.000km in total )
yes
no
(less as 3 years of driving)
Wearer of glasses:
yes
no
Interest in participation at demo
site:
AT / Innsbruck
DE / Berlin
DE / München
FR / Lyon
IT / Trento
NL / Breda
