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| Vehicle Information: - This data can be found on top of the steering column. |
| *Serial/Chasis number: | |
| Engine Serial Number: | |
| *Steering: | Left Hand Steering Right Hand Steering |
| *US/European Specifications: | US European |
| *Exterior Color: | |
| Original Exterior Color: | |
| *Interior Color: | |
| Original Interior Color: | |
| *Wheels: | Wire Alloy |
| Factory Options: | A/C P/S Other: |
| *Record Type: | |
| Purchase Information: | Date of purchase: m / d / y Mileage: Price: $ |
| Current Information: | |
| Do you own the car now? | Yes - Current Mileage: No |
| Owner's Address: | |
| City: | |
| *State/Province: | |
| Zip/Postal Code: | |
| *Country: | |
| Phone Number: | |
| Fax Number: | |
| Owner's Website: | |
| Previous Owners: | |
| Previous Owner: | |
| City/State/Country: | |
| Previous Purchase Information: | DatePrice $ Mileage |
| Previous Owner: | |
| City/State/Country: | |
| Previous Purchase Information: | DatePrice $ Mileage |
| Previous Owner: | |
| City/State/Country: | |
| Previous Purchase Information: | DatePrice $ Mileage |
| Original Owner: | |
| City/State/Country: | |
| Previous Purchase Information: | DatePrice $ Mileage |
| Would you like to be notified (by e-mail) when any new records are entered for this car? |
Additional comments such as special information about the car or privacy requests/questions: