Leaf Spring Cobra: CSX2  
 

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
Princess Blue
Guardsman Blue
White
Black
Green
Other:  

Black
Red
Beige



PRESENT FEATURES
(as car is today)

ORIGINAL FEATURES
(as car left factory)

260 V8

289 V8

4-speed transmission

automatic transmission

5.5" painted wire wheels

5.5" chrome wire wheels

6" painted wire wheels

6" chrome wire wheels

5-spoke American Torq-Thrust mags

early slotted Halibrand Mags

6-spoke FIA Halibrand Mags

other mags:

Group A accessories

Roll Bar

hood scoop

side exhaust

chrome tube bumpers

comp quick jack pads

standard (squared-off) fenders

small rounded flares

large competition flares

2x4V Induction System

Weber induction 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