The 1970 Hamtramck Registry
MEMBER DATA - Personal information will not be given out.
Name__________________________________________
Mailing address___________________________________
City_________ State or province / country_______________
ZIP or postal Code_____________ Phone number _______________
Email address__________________________
Vehicle identification number - (VIN) _ _ _
_ _ 0B _ _ _ _ _ _
Current condition
___________________________________________________________
Do you have the vehicles broadcast sheet? Yes__ No__ If yes, please
attach a photocopy.
Do you have a window sticker or other dealer paperwork? Yes___ No___
Please attach copies
Did you find a broadcast sheet in your car for a different car? Yes__
No__
Have you looked everywhere? Yes ___ No___ If not,
please do so now!
If you found a broadcast sheet for a car with a different VIN, please send the
original or a copy as you wish. Original sheets received will be advertised
and you will be notified if it is ever matched up to the proper car.
Is your fender tag still present? Yes__ No__ If
yes, please include a legible pencil rubbing.
Do you have the original engine? Yes__ No__, Transmission? Yes___
No___ ,
If no, are they "0B" VINs? If so, what are the numbers? ______________,
______________
VEHICLE DATA - Start by WRITING in the information on your fender tag below,
use as many lines as needed, or more if car has a second or third tag.
(Please send a legible tag rubbing or clear photo as well)
Line 6; __________________________
Line 5;___________________________
Line 4;___________________________
Line 3;___________________________
Line 2;___________________________
Line 1;____________________________
CHECK OFF ITEMS BELOW AS THEY APPLY TO YOUR CAR;
3- speed manual ___ , 4-speed with console ___, 4 speed, no
console ___,
Slapstick Automatic ___ , Column shift Automatic___
TOP - matching paint___ Non matching paint (two tone)___ VINYL TOP: Boars
grain___ Gator grain___ Sunroof___
Stripe, color and style___________________ Body side
moldings, color of
insert __________
Vinyl seats___ Cloth seats___ Leather seats___ Bench seat___ Bucket seats___
6 way adjustable___
Single racing mirror___ , Dual racing mirrors___ Rallye gauges___
Standard gauges___ Manual steering___ Standard power
steering___ Fast
ratio power steering___ Standard steering wheel___ Partial
horn ring
steering wheel___ Rim blow steering wheel___ 15X7 black
steel wheels
with hub caps___ 15X7 Rallye wheels___ Light Package___
Rear window
louver package___ Rear shoulder belts___ Deluxe seat
belt package___
Center Console___ Floor mats___ Defogger___
Variable speed wipers___
Pedal dress up___ Undercoating___ Front chin spoilers___
Headlamp time
delay___ Door edge moldings___ Wheel lip moldings___
Bumper guards front
and rear___ California emissions___ Power windows___
Rear speaker
(s)___ Tinted windshield only___ Full tinted glass___
AM Radio___ FM
Radio___ FM/8track___ Dictaphone recorder___ A. C.___
Are you looking / hoping to find any numbers matching items for your car?
Is there any thing else you want me to know about your car?
I would like to make a donation to help support the Registry in the amount of ______
I do not care to make a donation at this time. ______
Please mail completed form to;
The 1970 Hamtramck Registry
P.O. Box 9632
Ketchikan, AK. 99901