9A46R121309
a form has been submitted on April 15, 2011
Prototype-pilot registry form
| Owner information | |
| Your Name | Ralph Moody |
| moodyr@roadrunner.com | |
| Street Address | na |
| City | na |
| State/Province | na |
| Zip code | na |
| Country | United States |
| Phone number | na |
| Select all that apply: | Name , Email |
| Vehicle information | |
| Select year | 1969 |
| Select make | |
| Select model | Talladega |
| VIN | 9A46R121309 |
| Body | |
| Color | |
| Trim | |
| Date | |
| DSO | |
| Axle | |
| Trans | |
| Original selling dealer | |
| Do you have a Marti report? | No |
| Do you have a build sheet? | No |
| Do you have a warranty identification card/ownercard? | No |
| Do you currently own this car? | Yes |
| Condition of car (please select one) | 5 |
| Comments | Ram Air, PS, PB, Air, black bench seat, C6 automatic |
| Upload an image | |
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