Vehicle Sequence Number BS23JOB_________________________ 


Member(s) Name________________________________________ 


Member's Address_______________________________________ 


______________________________________________________ 



Member's Phone Number (_____)____________________________ 


Vehicle Milage_________________Describe Vehicle's Condition: 


Do you have the vehicle's broad cast sheet? Yes____No____Attach copy 


Do you have the vehicle's fender tag? Yes____No____Attach pencil rubbing 


Did you find a broadcast sheet for another AAR in you car? If yes, what is the sequence number and please send copy along also. 
  
number______________________ Attach copy 
  
 
 
If you haven't  looked for other broadcast sheets please do so. Areas to look top of glove box liner-under front seats-

backs of front seats-under back seat bottom and under carpet. 




Do you have the original AAR engine? Yes____No____ 



Do you have the car's original transmission? Yes____No____ 



Does your car still have the original factory paint job? Yes____No____ 



How long have you owned your AAR? 





Have you added any factory options to your car? List them: 


  
  
  
  
  
  
  
  
  
  
Have you made any modifications to your car?
  
 


 
  
  
  

Do you know the history of your AAR? 







  
  
  
Do you have any documentation pertaining to your car? 

 





 
  
Can I place your name by your car on the vin list on the site so you can see where it falls in line?
  
Yes____ No____