"VEHICLE ID CARD" INFORMATION FORM

(STREET ROD AND SPECIAL CONSTRUCTION VEHICLES)

NAME______________________ADDRESS__________________________ CITY/TOWN:____________________STATE:__________ZIP:_________

PHONE NUMBER(OPTIONAL):(____)_____-_____________

NAME AND ADDRESS DO NOT APPEAR ON CARD

Please print (or type) all information. Fill out as completely as possible, the information will only be needed once so it should be accurate. Please specify year of items if they are used from different vehicles. Refer to item (#) in help section , if needed.

(1) VIN#________________________(2) LICENSE#___________________(3) BUILD TIME:___________

(4) YEAR:______________ (5) MAKE:____________________(6) BODY STYLE:____________________

(7) BODY:___________________(8) FRAME:_________________________________________________

(9) FRONT SUSPENSION:________________________________________________________________

(10) REAR SUSPENSION:________________________________________________________________

(11) BRAKES : FRONT______________________________(12) REAR____________________________

(13)DIFFERENTIAL:____________________________(14) MASTER CYLINDER:____________________

(15) STEERING BOX:________________________(16) STEERING COLUMN:_______________________

(17) GUAGES:_________________________________(18) SEATS:_______________________________

(19) PAINT:____________________________________________________________________________

(20) ENGINE:_____________________________(21) INDUCTION:_______________________________

(22) IGNITION SYSTEM:___________________________(23) EXHAUST:__________________________

(24) TRANS:______________________________(25) SHIFTER:_________________________________

(26) DRIVESHAFT:______________________________________________________________________

(27) TIRES: FRONT______________________________REAR__________________________________

(28) WHEELS: FRONT____________________________REAR__________________________________

ADDITIONAL MODIFICATIONS

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. Please use back of form if more room is needed.

After completion; mail this form, a picture of the vehicle and check or money order for $19.95 (we pay postage and handling) to: RandMco, 1405 4th street west, Kalispell MT 59901. All information is kept on file (confidentially of course). We do not use any information for mailing lists. Also you will receive a numbered sticker that corresponds to the number on your card (to be kept in a safe place) for ordering duplicate cards. Allow 2-4 weeks for delivery.

Copyright © 1989 RandMco

HELP SECTION

(1). Frame or serial number. (2). License plate number. (3). Length of time to build vehicle. (4). Year model. (5). Example: Ford, Chevy, etc...(6). Example: tudor sedan, 5 window coupe, roadster, etc... (7). Specify steel or fiberglass. (8) Is frame stock or modified, or if frame is aftermarket, give brand. (9). Give type of suspension, example; Pinto or 4 link, stock etc... (10). Give type and design, example; coil spring, 4 bar, leaf spring, etc...(11). Give brand and type example; Pinto disc., Chevy drum, etc...(12).See #11. (13). Type, year, made by, example; 69 Chevelle 10 bolt posi., etc...(14). Year and make of vehicle made for, or brand. (15). Pinto rack & pinion, Mustang, Vega, etc...(16). Year, brand & type example; 72 Cad. tilt etc...(17). Give type and brand, example; stock, or aftermarket. (18). Give type year and brand, example; 66 Mustang buckets, etc...(19). Give color name, brand of paint, type of system & number if possible. (20). Give year, size & make, list modifications of engine on back if needed. (21). Example; 4 barrel, blower, etc... (22). Specify type & brand, example; stock, duel point, HEI, etc... (23). Example; headers, stock single, dual, etc... (24). Example; Muncie 4 speed, Ford C6, etc... (25). Example; column, floor, etc... (26). Specify year and make. (27). Give size and brand. (28). Give size brand and style.