SAMPLE FORM FOR SPECIAL CONSTRUCTION VEHICLE

"VEHICLE ID CARD INFORMATION FORM"

PLEASE LOOK OVER FORM CAREFULLY !

IF, AFTER REVIEWING THE SAMPLE FORM, YOU DECIDE TO ENTER YOUR INFORMATION ONLINE, CLICK THE LINK AT THE BOTTOM OF PAGE AND YOU WILL BE TAKEN TO OUR SHOPPING CART TO MAKE YOUR PURCHASE...

AFTER YOUR PURCHASE IS RECORDED (it will take about 20 seconds)...YOU WILL BE TAKEN TO AN ACTUAL FORM

TO FILL OUT......(filling out form takes about 15 minutes)

TO VIEW INSTRUCTIONS FOR SUBMITTING PHOTO OF VEHICLE...Click Here

THIS IS A SAMPLE ONLY, (you may practice on this form), NO INFORMATION IS RECORDED !

TO RETURN TO ORDER PAGE click here

NAME: ADDRESS:

CITY / TOWN: STATE: ZIP: PHONE : (optional) () -

NAME, ADDRESS AND PHONE NUMBER DO NOT APPEAR ON CARD

Please input all information possible, it will only be needed once.

VIN# (frame or serial number) LICENSE PLATE:

HOW LONG TO BUILD ?: YEARS MONTHS YEAR: (year of body)

MAKE : (chevy, ford, etc..) BODY STYLE: (coupe,sedan etc..)

BODY : (steel,fiberglass,ect..)

FRAME:(Is frame stock or modified, if aftermarket give brand)

FRONT SUSPENSION:(Give type of suspension, example; Pinto, mustang, 4 link, stock etc..)

REAR SUSPENSION:(Give type and design, example; coil spring, 4 bar, leaf spring, etc...)

BRAKES: FRONT REAR (Give brand and type example; Pinto disc., Chevy drum, etc..)

DIFFERENTIAL:(Type, year, made by, example; 69 Chevelle 10 bolt posi., etc...)

MASTER CYLINDER: (Year and make of vehicle made for, or brand.)

STEERING GEAR: (Pinto rack & pinion, Mustang, Vega, etc..)

STEERING COLUMN: (Year, brand & type, example; 72 Cad. tilt etc..)

GUAGES: SEATS:

PAINT:(Give color name, brand of paint, type of system & number if possible)

ENGINE:(Give year, size & make, list modifications )

INDUCTION:(Example; 4 barrel, blower, fuel injection etc...)

IGNITION SYSTEM:(Specify type & brand, example; stock, duel point, HEI, etc...)

EXHAUST:(Example; headers, stock single, dual, etc..)

TRANSMISSION:(Example; Muncie 4 speed, Ford C6, etc...)

SHIFTER:(Example; column, floor, etc...)

DRIVESHAFT:(Specify year and make, or if custom.)

TIRES : FRONT REAR (Give size and brand.)

WHEELS: FRONTREAR(Give size, brand and style.)

Please list all options you may have added or modifications you have done (other than what is listed above), such as; power steering , air conditioning, power brakes, sun roof, etc... Also modifications such as; chopping, channeling, sectioning, etc..., anything you feel you have done to make your ride unique.

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