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REGISTRY
Vehicle Data
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***Factory
Options/ Features Only***
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Sequence#
BS23JOB____________________
Exterior
Color__________________________
Interior
Color___________________________
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Please
include a legible pencil rubbing of your fender tag or write down
the info as you see it on the tag. Whichever is easier.
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Pick
your options, one from each category
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____4
Speed Pistol Grip
____Slapstick
Automatic
____Column
Shift Automatic
____Clear
Glass-Full
____Tinted
Class-Full
____Tinted
Windshield only
____Radio
Delete
____AM
Radio
____AM/8
Track
____AM/FM
Stereo
____Top-Matching
Paint
____Vinyl
Top-Boars grain
____Vinyl
Top-Gator grain
____Vinyl
Seats
____Cloth
insert w/Vinyl
Seats
____Leather
w/ Vinyl Seats
and overhead console
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____Standard
Gauges
____Standard
Gauges w/ clock
____Rally
Cluster Gauges
____Manual
Steering
____Fast
Ratio Power Steering
____
Standard Power Steering
____Standard
Steering Wheel
____Standard
Wheel w/ Horn Ring
____Rim
Blow Steering Wheel
____15X7
Steel Wheels
____15X7
Rally Wheels
____Single
Racing Mirror
____Dual
Racing Mirrors
____3.55
Axle Ratio
____3.91
Axle Ratio
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Individual
Options- Check as applicable
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____Light
Package
____Rear
Window Louvers
____Rear
Shoulder Belts
____Seat
Belt Group w/FSB
Lamps
____Center
Console
____Six
Way Seats
____Floor
Mats
____Bench
Seat
____50
Amp Alternator
____70
Amp Alternator
____Defogger
____Variable
Speed Wipers
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____Pedal
Dress Up
____Undercoating
____Front
Chin Spoilers
____Headlight
Time Delay
____Door
edge moldings
____Sill
Moldings (Rocker)
____Wheel
Lip Moldings
____Sunroof
____Front
Bumper Guards, ____Rear Bumper Guard Ins.
____ECS-
California Emission
____Power
Windows
____Rear
Speakers
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Other
information________________________________________________
__________________________________________________________
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| Date_____________________
Signature_____________________
Please mail to
this address
Jeff
Bangert
123
Macintosh Drive
Palmyra
Pa
17078
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