The following information is being compiled by the
Yenko Sportscar Club and will be used for club use
only. Owner's name and address will not be released
without permission from the owner.

Owner's Info:
Owner's Name:
Address:
City: State:  Zip Code:
E-mail address:  Phone #:

Supercar's Info:
Year of Supercar:
Model of Supercar:Camaro    Chevelle    Corvair    Corvette   Impala    Nova     Vega  
Building dealer:

EXAMPLE: Yenko, COPO, Motion, etc.

Selling dealer:

EXAMPLE: Francis Chevrolet, Baldwin Chevrolet, etc.

VIN#:

TRIM TAG

ST

BDY

TR

PNT

NOTES:


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