Registration Form

To add your vehicle to the register, please fill out and submit this form.

This form may not work on all browsers. Please send an E-mail to confirm your vehicle data if you are in doubt. Thank you.


             NAME:      

ADDRESS:

STATE & ZIP:

COUNTRY:

YOUR E-MAIL:

CHASSIS NUMBER:

YEAR:

BODY STYLE:

MODEL: ENGINE:

* * *

Thank You! Your registration will be confirmed by E-mail.

celt@celtchat.com

Copyright © 2008 The 140/164 Register

Form revised 29 Nov 2008