For Official Use Only - Jag-lovers



|JAGUAR CARS ARCHIVES |Form downloaded from Jag- |

|VEHICLE INFORMATION REQUEST FORM | |

| | | | | | |JAGUAR CARS ARCHIVES |

| | | | | | |Attn: Michael L. Cook |

| | | | | | |555 MacArthur Blvd. |

| | | | | | |Mahwah, NJ 07430 |

| | | | | | | |

| | | | | | |Telephone: (201) 818 8144 |

| | | | | | |Fax: (201) 818-8464 |

| | | | | | |mcook69@ |

|For Official Use Only | | | |

|Request No. |      |Rec’d |      | | | |

|Check No. |      |Date |      | | | |

|Researcher |      |Date |      | | | |

| | | | | | | |

|Tape No:  | |Page: | | | | |

| | | | | | | |

Instructions

We request that, if possible, applicant supply All Numbers from the commission plate or actual components for comparison purposes. We will advise if the numbers you submit do not match the factory records. Send the completed form, with proof of vehicle ownership in your name (copy of title or registration, signed bill of sale), and the research fee of $50 US to the address above. Make the check or money order to Jaguar Cars– we can't accept credit cards. Jaguar Clubs of North America (JCNA) members pay $35. Allow 2-4 weeks for reply.

|Applicant Information | |For Official Use Only |

|Owner Name: |      | |Color Ext. |      |

|Address |      | |Int. |      |

|City, State, ZIP |      | |Hood |      |

|Phone (days) |(     )       | | | |

| | | |Build |      /       /       |

|Fax |(     )       | |UK Dispatch |      /       /       |

|JCNA Member # |      | |Distributor |JCNY, MH, CH, JCNA, BL |

|(As shown on your Jaguar Journal Label or membership card) | |Other |      |

|E-mail:______________________________________________________________ | | | |

|Make |      | | | |

|(Jaguar/Daimler, etc) | | | |

|Model |      | |First Owner |      |

|(XJ6, E-Type, etc) | |Address | |

|LHD , RHD | |City, St Zip | |

| | | | |

|Body Style (Check One) | |Additional Notes:       |

|Open 2-seater (OTS) (Roadster, thin canvas/vinyl top) | | |

|Drophead Coupe (DHC) (Convertible, padded/lined fabric top) | | |

|Fixed Head Coupe (FHC) (2-door hardtop, 2-seater & 2+2) | | |

|Sedan (4-door hardtop, seats 4-5) | | |

|Limousine | | |

|Chassis Number/V.I.N Number |      |

|Engine Number |      |

|Body Number |      |

|Gearbox Number |      |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download