1968 GT/CS Registry Form

VIN & DATA PLATE INFORMATION:
Please fill in the following information from the data plate riveted to your driver's side door jamb. VIN (warranty number) must start with 8R01.
Don't forget to give complete 11 character warranty number! Thanks!

-- 65A 65B 65C 63D -- A B D F I M N O Q R T U W X Y Y5 6 -- 2A 2B 2D 2F 2G 2K 2U 2Y 5A 5B 5D 5U 6A 6B 6D 6F 6G 6K 6U 6Y 7A 7B 7D 7U 8A 8B 8D 8U 9A 9B 9D 9U -- M A B C D E F U -- 51 53 61 71 72 73 74 75 B6 B7 -- 1 2 3 4 5 6 7 8 9 E F G H -- 1 5 W U

VEHICLE HISTORY:
ON ALL ITEMS CHECK IF "YES" AND ONLY IF ORIGINAL.

Number of years you've owned this car:
   -- 1 or less 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years 30 years 31 years 32 years
   Original Owner
   Second Owner
   Unknown

Where was car originally purchased in 1968?
  

If original owner did you receive a recall notice (postcard) in 1968 to retrofit your fog lights from Marchal to Lucas?
   Yes
   No
   Unknown
Any further comments on your Marchall recall notice:
  

Do you still have original paperwork? (build sheet or window sticker)
   Yes
   No

Is this car already in Paul Newitt's GT/CS Registry?
   Yes
   No
   Unknown

EXTERIOR:
ON ALL ITEMS CHECK IF "YES" AND ONLY IF ORIGINAL.

Original stripe color:
   WHITE BLACK RED BLUE

Antenna base:
   Round
   Square

Fog Lights:
   Marchal (bolted to grille)
   Lucas (mounted on pedestals)

Gas Cap:
   Original pop-off
   GT pop-off

Reflector on Rear Quarter:
   Recessed w/ trim piece (body color)
   Attached (sticks out) w/ chrome trim

Wheels and Wheel Covers:
   Unknown
   Standard hubcaps
   Standard hubcaps with red center
   Spoked hubcaps
   Styled Steel (Chrome w/ Plain center cap)
   Styled Steel (Chrome w/ GT center cap)
   Styled Steel (Argent* w/ Plain center cap)
   Styled Steel (Argent* w/ GT center cap)
*Argent = dark metallic grey

Vinyl Top:
   No
   Yes (Color = Parchment)
   Yes (Color = Black)

If your car is a factory GT does it have: (pick N/A for non-GT cars)
  YES   NO    N/A
               Heavy sway bar (7/8" or 15/16" diameter)
               Dual exhaust with quad tips
               GT rear valance

EXTERIOR OPTIONS:
  YES   NO
        Accent Paint Stripe
        Bumper guards (front)
        Bumper guards (rear)
        Chrome wheel molding
        Door edge guards
        Exterior Decor Group
        Rear Deck Luggage Rack
        Remote-Control Outside Mirror (Drivers side)
        Passenger's side mirror
        Rocker Panel Molding
        Two tone hood w/ semi-gloss black stripes
        Wide-Oval Sports Tires

INTERIOR OPTIONS:
  YES   NO
        Clock
        Console (Lower)
        Convenience Control Panel lights (Upper console)
        Deluxe Steering Wheel
        Fingertip Speed Control
        Interior Decor Group
        Radio AM
        Radio AM/FM
        Radio 8-track
        Rear window defogger
        SelectAire Conditioner
        Tachometer
        Tilt-Away Steering Wheel
        Tinted Windows and Windshield
 
OTHER OPTIONS:
Please include any other factory or dealer installed options which are not included above.