1966 Shelby Registration Form

Please note:
This form will not give you information about a particular car.
It is for owners to report ownership and other changes. 

NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE:
E-MAIL:

Please note: Addresses and phone numbers are for internal club use only. Only names, cities, and states (or countries) appear in the Registry. If you would like your name withheld from the next edition of the Registry then please check this box.

SHELBY SERIAL#:     SFM6S
FORD VIN:            
Note: All Ford VINs are kept confidential.

ORIGINAL DEALER (if known):

MODEL (as designated by the factory):   Street    Hertz    Drag

TRANSMISSION:   Aluminum T-10   Cast Iron T-10   Automatic

ORIGINAL COLOR:
Wimbledon White
Candy Apple Red
Sapphire Blue
Ivy Green
Raven Black

PRESENT FEATURES
(as car is today)
ORIGINAL FEATURES
(as car left factory)
15" steel wheels
15" Shelby/Cragar wheels
14" steel wheels
14" painted Magnum 500 wheels
14" chrome Magnum 500 wheels
14" aluminum 10-spoke wheels
all fiberglass hood
fiberglass, steel frame
all steel hood
lowered A-arms
Koni shock absorbers
over-ride traction bars
under-ride traction bars
hollow-letter valve covers
solid-letter valve covers
'66-style optional steering wheel
factory installed LeMans stripes
dealer installed LeMans stripes
owner installed LeMans stripes
no LeMans stripes
rear package shelf
Paxton supercharger
air conditioning
Detroit Locker rear
no radio (radio delete plate)
dealer installed radio


PRESENT COLOR:

PRESENT CONDITION: 5. undergoing restoration
1. original/unrestored 6. wrecked
2. original/restored 7. destroyed
3. modified/unrestored 7. parted-out
4. modified/restored 9. rebodied


THIS IS NEW INFORMATION TO SAAC (as far as I know)
THIS IS A CORRECTION TO THE LATEST REGISTRY
THIS IS AN ADDITION TO THE LATEST REGISTRY
I DON'T KNOW IF MY CAR HAS BEEN IN A PAST REGISTRY


PAST OWNERS: Please list past owners from first to present in
chronological order (use question marks to indicate unknown owners).


INDIVIDUAL HISTORY: List, in chronological order, anything
unique to this car or its owners.


     

Your information will be emailed to the registrar.

1966 SHELBY REGISTRAR:
HOWARD PARDEE
4 BETTY ST
WATERFORD, CT 06385
EMAIL
saachp@snet.net