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Title
Vehicle Registration Form
Owners Registration form for all Cortina or Cortina based models.
Please complete the form below, print it off and post it to your appropriate register representative to register your vehicle with the club
Surname
Name
Address
Post Code
Tel: No:
Mobile No:
E-
Website Forum / User Name
Registration No:
Year
Marque
Body Style
Model
Colour
Engine Size
Transmission
Chassis No:
How would you describe your car ?
Would you like to have your car considered for possible photo / film shoots in the future
All Register details are strictly confidential, and will not be conveyed in any manner whatsoever to a third party without the sole and express permission of the registered member.
For Official Use Only
Register No:______