'69-1/2 
SIXPACK / SIXBBL
REGISTRY
*PLEASE READ*
YOUR PAGE IS HAND BUILT AND MAY TAKE UP TO 4 WEEKS TO SEE IN THE REGISTRY.
THIS SERVICE IS FREE. BELOW IS AN ONLINE FORM TO FILL OUT.
IT SHOULD ONLY TAKE A FEW MINUTES.  PLEASE INCLUDE YOUR CONTACT INFORMATION BECAUSE THIS FORM DOES NOT AUTOMATICALLY SEND IT TO US.
ANY AREAS THAT HAVE AN * WILL NOT BE SHOWN ONLINE.
ALL OTHER AREAS WILL BE POSTED ON THE 1969-1/2 REGISTRY WEBSITE.
FILL OUT THE AREAS THAT YOU CAN.
WHEN YOU ARE DONE - HIT THE REGISTER BUTTON.
SORRY FOR ALL THE QUESTIONS...BUT IT WILL MAKE A DETAILED REGISTRY
AND WILL PROVIDE INFORMATION FOR ALL 1969-1/2 CAR OWNERS.
V.I.N.  TO VERIFY NO DUPLICATE CARS
CHOOSE ONE:BODY TYPE
BODY STYLE
ORIGINAL COLOR
PAINT
INTERIOR COLOR
FENDER TAG CODES - LEAVE SPACE
BETWEEN EACH SET OF NUMBERS
TRANSMISSION
CONDITION
APPEARANCE
THIS REGISTRY IS FOR THE HALF YEAR VERSIONS OF THE
DODGE SUPERBEES AND PLYMOUTH ROADRUNNERS.
THESE ARE THE CARS THAT CAME WITH  A TRIO OF HOLLEY CARBURATORS
ON TOP OF A 390 HORSEPOWER 440 CUBIC INCH MOTOR AND HAD A FRESH AIR
LIFT-OFF FIBERGLASS HOOD AND 4.10:1 DANA REAR.
IF YOU OWN ONE OF THESE CARS - REGISTER IT HERE

NUMBER OF OWNERS
USAGE
CURRENT COLOR
  CURRENT INTERIOR COLOR
MOTOR
CURRENT MOTOR SIZE / CARB
DOCUMENTATION: DESCRIBE ANY PAPERWORK
IE: ORIG. BILL OF SALE, BROADCAST SHEET ETC.
PHOTOS
IF YOU HAVE A PHOTO IN A COMPUTER FILE THAT YOU
WANT ON YOUR PAGE, YOU CAN ATTACH IT HERE:

IMAGE FILE MUST BE .GIF OR .JPG
BE SURE TO INCLUDE YOUR NAME AND VIN# IN THE SUBJECT LINE
ANY OTHER OPTIONS
YOUR NAME*
ADDRESS: STREET/CITY*               
EMAIL ADDRESS*  THIS IS THE ONLY WAY FOR US TO REPLY TO YOU.
HOW DID YOU HEAR OF THE REGISTRY?
TRANSMISSION
.
MILEAGE SHOWING
VINYL TOP
SHIFTER
PHONE NUMBER*
MAILING ADDRESS:
'69-1/2 REGISTRY
3 DEERPARK AVE.
BRANTFORD, ONTARIO,
CANADA   N3R-6H2
STATE OR PROV,COUNTRY
BROADCAST SHEETS:
IF YOU WANT TO PHOTOCOPY YOUR BROADCAST SHEET, FENDER TAG PHOTO AND/OR SEND A COUPLE OF PHOTOS
OF YOUR CAR, SEND IT TO :
SEATS
TOP LINE
LINE 2
LINE 3
LINE 4
LINE 5
LINE 6
BY REGISTERING MY CAR HERE, I AGREE TO HAVE THE ABOVE
INFORMATION PUBLISHED ON THE WORLD WIDE WEB.
ADDITIONAL OWNER COMMENTS IE. CAR HISTORY, MISSING DOCUMENTATION, HOW YOU FOUND THE CAR OR ANYTHING ELSE YOU WOULD LIKE TO WRITE DOWN TO PERSONALIZE YOUR PAGE.
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