1969-70 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.
 

(Please include the entire serial number.)

SERIAL NUMBER: 
Note:
Double check your serial number. The info you give
with the number entered will be what is used in the upcoming
registry update. If you enter it wrong it will be wrong in the next registry
.
 

ORIGINAL DEALER (if known):

MODEL:    GT350    GT500   
BODY STYLE:    fastback    convertible
TRANSMISSION:    4-speed    automatic
CONVERTIBLE TOP:    Black    White

ORIGINAL COLOR:
Acapulco Blue
Black Jade
Silver Jade
Gulfstream Aqua
Pastel Gray
Candy Apple Red
Royal Maroon
Grabber Blue
Grabber Green
Grabber Yellow
Grabber Orange
Competition Orange
White

SIDE STRIPES:
White
Blue
Gold
Black

INTERIOR:    Black White Red

DOOR PLATE INFORMATION:
BODY
TRIM
AXLE
COLOR
DATE
TRANS
DSO

PRESENT FEATURES
(as car is today)
ORIGINAL FEATURES
(as car left factory)
tilt-away steering wheel
air conditioning
Traction-Lok
tinted glass
power ventilation
intermittent windshield wipers
close-ratio 4-speed
heavy duty battery

Drag-Pack

AM Radio

AM/FM Radio

AM/8 Track



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.

1969-70 SHELBY REGISTRAR:
VINCENT LISKA
 128 KIMBALL ST
ISELIN, NJ 08830
FAX 732-750-4481
E-MAIL
vinman@infionline.net