Coil Spring Cobra: CSX3  
 

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.
 

ORIGINAL DEALER (if known): 

MODEL (as designated by the factory):    Street   Other  

ORIGINAL COLOR INTERIOR
Red
Maroon
Blue
Charcoal
White
Green
Other:  
Black
Red


PRESENT FEATURES
(as car is today)
ORIGINAL FEATURES
(as car left factory)
427 V8
428 V8
4-speed transmission
automatic transmission
Sunburst wheels
6-spoke FIA Halibrand mags
GT40-type Halibrand mags

other mags:

hood scoop
roll bar
oil cooler scoop
side exhaust
narrow rear fenders
standard (slightly flared) fenders
competition rear flares
S/C rear flares (extra lip)
competition gas cap
chrome tube bumpers
competition quick jack pads
1x4V induction system
2x4V induction system
Weber induction system
dry sump oiling system


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.

COBRA REGISTRAR:
NED SCUDDER
5930 CARDENO DR
LA JOLLA, CA, 92037
FAX 619-551-4313
EMAIL
nedscudder@gmail.com