Owner's Name

Owner's Address

Make                                                             Model

VIN

Date of Delivery or
Warranty Start Date

Selling Dealer                                                               Dlr. Code

City                                                               State

Shelby Automobiles, Inc. · 12444 East Putnam · Whittier, CA 90602

© 1988 Shelby Automobiles, Inc.                                           Printed in U.S.A.

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