1967 Shelby Registrar Form:

Please note:
This form will not give you information about a particular car, but is for "owners" to report ownership or changes.


NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE:
E-MAIL:

Please note: addresses and phone numbers are for internal club use only. Only name, city and state (or country) appear in the Registry. If you would like your name withheld from the next edition of the Registry please check this box.

Shelby Serial Number
FORD VIN:        
Note: all Ford VINs are kept confidential

ORIGINAL DEALER (if known):

MODEL
GT350    GT500

TRANSMISSION
4-speed    automatic

ORIGINAL COLOR
1 - Burnt Amber/Bronze Metallic   2 - Nightmist Blue/Dark Blue Metallic   3 - Raven Black   4 - Wimbledon White   5 - Dark Moss Green   6 - Dark Metallic Gray   7 - Lime Gold Metallic   8 - Brittany Blue/Light Blue   9 - Red   0 - Acapulco Blue/Medium Blue  

INTERIOR
Black
Parchment
White
PRESENT FEATURES
(as car is today)
ORIGINAL FEATURES
(as car left factory)
15" steel wheels with hub caps
15"x7" Kelsey-Hayes wheels
15"x7" aluminum 10-spoke wheels
Z preceeding serial number
outboard headlights
inboard headlights
side running lights in side scoops
functional lower rear brake scoops
louvered hood
factory installed LeMans stripes
dealer installed LeMans stripes
owner installed LeMans stripes
no LeMans stripes
Paxton supercharger
air conditioning
Detroit Locker rear
Traction-Lok rear end
tinted glass
427 engine factory installed
427 engine dealer installed
427 engine owner installed


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 FOR THE 1997 REGISTRY
THIS IS AN ADDITION FOR THE 1997 REGISTRY
I DON'T KNOW IF MY CAR HAS BEEN IN A PAST REGISTRY


PAST OWNERS: Please list from first to present in chronological
order (use question marks to indicate unknown owners).


INDIVIDUAL HISTORY: Include anything unique to this car or its
owners; keep them in chronological order.



Your information will be e-mailed to the registrar

1967 SHELBY REGISTRAR:
DAVE MATHEWS, 20 Fox Ridge Rd. GUILFORD, CT 06437
FAX 203-458-6917
EMAIL 67registrar@saac.com