AUTOKRAFT MK IV 19
AK
VIN:
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:
TODAY'S DATE:
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.
ORIGINAL DEALER (if known):
MODEL (as designated by the factory)
Standard
Lightweight
Left-Hand Drive
Right-Hand Drive
ORIGINAL COLOR
INTERIOR
Red
Black
White
Silver
Green
Blue
Other:
Black
Tan
PRESENT COLOR
INTERIOR
Red
Black
White
Silver
Green
Blue
Other:
Black
Tan
Other
:
PRESENT FEATURES
(as car is today)
ORIGINAL FEATURES
(as car left factory)
302 V8
351 V8
427 V8
Other engine:
4-speed transmission
5-speed transmission
Automatic transmission
Halibrand wheels
Other Wheels:
Hood Scoop
Roll Bar
Chrome Tube Bumpers
Side Exhaust
Competition Quick Jack Pads
1x4V Induction System
Fuel Injection
Other Features
Present Mileage:
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
AUTOKRAFT MK IV REGISTRAR:
EMAIL
mkivregistrar@saac.com