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                  Name 
 
                  email:  


            Address          

                City              
     
              State          

 
                      Zip                


Country               Postal Code 
    
Phone (Home)    


Phone (Business)   

Cell Phone                 
  
Fax                        

New Member         Renewal       Change  
 
Member Number 


       Make                          Body Number                

       Year                            Chassis No.                     

       Model *                      Engine No.                       

       Color                          Coach Builder                  

       Int. Color                    Body Type **                  

Please select from the following when entering data for the above fields
* Model ** Body Type
1900
1900TI
1900 Super
1900C
1900C Super
1900L
1900M 51
1900M 52
Berlina (4D sedan)
Primavera (2D sedan)
Coupe
Ghia Special (coupe)
Sprint
Sprint GD (RHD)
Cabriolet (2D convertible)
5/6 Posti convertible
Victoria
Matta














The above information is maintained in two private files with Peter Marshall in the UK and Joost Gompels in the US. Your privacy is cherished as much as our own and great care is taken not to divulge this information to anyone other than i) in a membership directory access to which is restricted to owners for the purposeof facilitating communications with each other and the registrars/website administrators ii) in personal communications to owners by the registrars to introduce owners to each other where the parties are known or have agreed iii) by the web administrators to send general notices and alerts to owners. Please notify us of of any directory information you wish to have withheld.
PLEASE CLICK ON SEND BUTTON TO SUBMIT. WE ARE WORKING ON A RESPONSE SEQUENCE.  WEB ADMINISTRATOR WILL ACKNOWLEDGE TO ORIGINATING SENDER. IF YOU DO NOT RECEIVE IN A COUPLE OF DAYS PLEASE "CONTACT US" - Joost Gompels
(alfamail@comcast.net)








                                       



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