1967 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#:
FORD VIN:        
Note: All Ford VINs are kept confidential.

ORIGINAL DEALER (if known):

MODEL:    GT350    GT500

TRANSMISSION:    4-speed    automatic

ORIGINAL COLOR:
Burnt Amber/Bronze Metallic
Nightmist Blue/Dark Blue Metallic
Raven Black
Wimbledon White
Dark Moss Green
Dark Metallic Gray
Lime Gold Metallic
Brittany Blue/Light Blue
Red
Acapulco Blue/Medium Blue

INTERIOR:    Black    Parchment    White

PRESENT FEATURES
(as car is today)
ORIGINAL FEATURES
(as car left factory)
15" steel wheels with hub caps
15"x7" Kelsey-Hayes wheels
15"x7" aluminum 10-spoke wheels
Z preceeding serial number
outboard headlights
inboard headlights
side running lights in side scoops
functional lower rear brake scoops
standard hood with center scoop
hood with side louvers
louvered hood
no LeMans stripes
Paxton supercharger
air conditioning
open rear
Detroit Locker rear
Traction-Lok rear end
427 PI engine factory installed


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 FOR THE 1997 REGISTRY
THIS IS AN ADDITION FOR THE 1997 REGISTRY
I DON'T KNOW IF MY CAR HAS BEEN IN A PAST REGISTRY


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


CAR PURCHASED: Where did you purchase the car, and from whom?


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


     

Your information will be emailed to the registrar.

1967 SHELBY REGISTRAR:
DAVE MATHEWS
20 FOX RIDGE RD.
GUILFORD, CT 06437
FAX 203-458-6917
EMAIL gt350dave@hotmail.com