GuardDog Connect Opt-Out Form

Page One

Please complete all required fields and submit when completed.

1. Contact Information

Opt-out Requester First Name *This question is required.

Opt-out Requester Last Name *This question is required.

Company Name *This question is required.

Street Address *This question is required.

City *This question is required.

State / Province *This question is required.

Zip/Postal Code *This question is required.

Phone Number *This question is required. Format: xxx-xxx-xxxx

Email Address *This question is required. Format: name@domain.com This question requires a valid email address.

2. I would like to opt-out the following Mack Truck Vehicle Identification Number (VIN): *This question is required.

One VIN number selected: Enter the 17 character Vehicle Identification Number (VIN) *This question is required.

Multiple VIN numbers selected. Use the required number of fields in the VIN Tables below to enter the VIN numbers for each vehicle to be opted out for Remote Diagnostics. Note: a minimum of 2 VIN numbers are required. If you have more than 30 VIN numbers to enter, or is you have any questions, please contact the Remote Diagnostics team at servicesubscriptions@macktrucks.com.

VIN Table 1 for Vehicles 1 - 10

Space Cell	VIN Number
1 *This question is required	VIN Number
2 *This question is required	VIN Number
3	VIN Number
4	VIN Number
5	VIN Number
6	VIN Number
7	VIN Number
8	VIN Number
9	VIN Number
10	VIN Number

VIN Table 2 for Vehicles 11 - 20

Space Cell	VIN Number
11	VIN Number
12	VIN Number
13	VIN Number
14	VIN Number
15	VIN Number
16	VIN Number
17	VIN Number
18	VIN Number
19	VIN Number
20	VIN Number

VIN Table 3 for Vehicles 21 - 30

Space Cell	VIN Number
21	VIN Number
22	VIN Number
23	VIN Number
24	VIN Number
25	VIN Number
26	VIN Number
27	VIN Number
28	VIN Number
29	VIN Number
30	VIN Number

All VIN numbers in Company Fleet selected: Please note: by selecting this option, all Customer VINs associated with the Fleet Account Number will be opted out of Mack Remote Diagnostics.

Fleet Name *This question is required. This question requires a valid number format.

Please provide one VIN number associated with the Fleet requesting to be opted out of Remote Diagnostics. *This question is required. The VIN number you provide will be used to authenticate this fleet level opt-out request.

Fleet Manager First Name *This question is required.

Fleet Manager Last Name *This question is required.

Fleet Manager Email Address *This question is required. This question requires a valid email address.

3. Mack Remote Diagnostics Opt-out Confirmation *This question is required.