1968 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 #: 8T0  

ORIGINAL DEALER (if known):

MODEL:    GT350    GT500    GT500KR

BODY STYLE:    fastback    convertible

TRANSMISSION:    4-speed    automatic

CONVERTIBLE TOP:    Black    White

ORIGINAL COLOR:
Gold Metallic
Black
Lime Green
White
Red
Medium Blue Metallic
Dark Green Metallic
Yellow
Other

INTERIOR:    Black    Saddle

DOOR PLATE INFORMATION:
BODY:
TRIM:
AXLE:
COLOR:
DATE:
TRANS:
DSO:

PRESENT FEATURES
(as car is today)
ORIGINAL FEATURES
(as car left factory)
15" steel wheels with hub caps
15"x7" aluminum 10-spoke wheels
tilt-away steering wheel
owner installed LeMans stripes
Paxton supercharger
air conditioning
Detroit Locker rear
Traction-Lok rear end
tinted glass
optional Ram-Air hood (GT350 only)
427 engine factory installed
427 engine dealer installed
427 engine owner 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 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.

1968 SHELBY REGISTRAR:
VINCENT LISKA
 128 KIMBALL ST
ISELIN NJ 08830
FAX 732-750-4481
E-MAIL
vinman@infionline.net