REGISTER REGISTRY MODS NADA FOR SALE/WANTED HOME


Please fill out the form below. I'll post owner's name, vehicle number and modifications. All other data are solely for the use of a secure off-line database. This database allows me to contact you. This information will only be for private use and will NOT be posted on a web page or sold.

It's VERY important to provide as much information as possible. While I understand people's natural hesitance to provide information, without complete information it makes the task of documenting the vehicles very difficult. I have access to the Shelby Automobiles, Inc. build list but a lot of data is missing.

*Name: (Proper Case)

*Address: (Proper Case)

*City:      *State :      *Zip Code:

Phone: (XXX) XXX-XXXX

*Email: (lower case)

Mobile: (XXX) XXX-XXXX

Bus. Phone: (XXX) XXX-XXXX

Bus. Email: (lower case)

AIM:      Yahoo IM:

ICQ:      MSN:

NOTE: If you car does not appear in this list then please do NOT send me any information.

*Model:

Car Number:

Please take the time to include your VIN. It helps verify your vehicle especially if you're a new owner.

VIN: VIN Format

Mileage:

Additional info: Unique options, Lancer configuration (Auto/5-speed, Leather/Cloth), Dakota Color.


New Update

Help speed the process. Submit your information as complete as possible!
Double-check your information before you click the send button.

Validation Measure (17 + 17 =)


You should also consider joining the Shelby Registry Mailing List.

NOTE: Items marked with an asterisk (*) are required. All others are optional.