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1973/74 SD455 Registry

 

Greetings to all SD455 owners. Whether or not your car is already listed in the Registry, please complete and return this form to me. This way I will have your address on file. Also, you are invited to send me copies of window stickers, invoices, build sheets, pictures authoritative literature, etc. Any additional information you have on the SD ( personal anecdotes, first hand experiences, suppliers for rare, hard-to-find parts, etc.) would be appreciated. This data will be used for the newsletter portion of the Registry. A copy of the Registry will be sent to all contributing owners who include a self-addressed, stamped envelope. Thank you for your efforts.

 

John Wallace                    email:    johnta1@sd455registry.com

13412 E. County Rd 500 N.          Tel: (217) 345-7585

Charleston,Il 61920

 

Name_________________________________________________________________________

 

Address_______________________________________________________________________

 

City,State,Zip__________________________________________________________________

 

Phone (_____)__________________________E-Mail:_________________________________

 

VIN (Serial #)__________________________________________________________________

 

Transmission:            Rear End Gear:

 

Auto (THM 400) _____ 3.08 _____

M-20 (Wide Ratio) _____ 3.42 _____

M-21 (Close Ratio) _____ (1974 only) Other_____

 

Color: Exterior: _______________ Interior Type: Standard _____

Interior: _______________ Custom _____

Cloth _____

Check Options Contained:

 

Air Conditioning _____ Hoodbird _____

Radio AM _____ Power Windows _____

Radio AM/FM _____ Power Locks _____

Radio AM/FM Stereo _____ RearWindowDefrost_____

Tape Player _____ Tinted Glass _____

Console Front _____ Rear Bumper Guards_____

Console Rear _____ Floor Mats _____

Wheels Rally II _____ Right Vanity Mirror_____

Wheels Honeycomb _____ Roof Drip Moldings _____

Tilt Wheel _____ Lamp Group _____

Window & Hood Molding____

 

Backround Information:

Build Date: ______________ Current Mileage ______________

 

Original Delivery Dealer ________________________________________________________

 

Original Delivery Destination (City, State) _________________________________________

 

Owner: Original _____ 2nd _____ 3rd _____ Other _____

 

Please list any modifications and comments on a separate page.