Join the 1512 Registry
Date Added:	YYYY/MM/DD
Date Modified:	YYYY/MM/DD
* Owner's Name:
Request OWNER- PRIVATE Registration:	Yes No
* Create a Password:
* Re-Type Password:
How long have you owned your car? Please choose the year you purchased your Scrambler:	CHOOSE ONE1969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008
Street Address:
City:
* State:
Zip Code:
* Country:
Telephone:
* E-Mail Address:
Publically Viewable E-Mail?	Yes No
Have you ever raced your Scrambler?	Yes No
If yes, please enter the race details:	seconds @ mph
Add any additional race details here:
Actual Milage of Car: (ie. 164000)
* VIN (First 7 Digits):
* VIN (Last 6 Digits):
* Door Tag Paint Code: (if other, please provide details below)	CHOOSE ONE 88A 00A 00 00-00 SPEC SPECIAL N/A Other
If other, please provide details:
Door Tag Sequence Number: (this is the last row of numbers on the tag) (ie. E000000)
* Does this car still have its original paint job?	Yes No
* Original Paint Scheme:	A B Unknown
* Current Paint Scheme:	A B Custom:
* Current Status of Your Scrambler: (Provide brief details if necessary!)	CHOOSE ONE Awaiting restoration Currently being restored Driving while Restoring Daily driver On display in a Museum Trailered show car only Race car Parts car or Destroyed For Sale Fully Restored Occasional Driver Nice Original Condition Original BAJA CAR Original Prototype Car Unknown Other
If other, please provide details:
If requested by the registrys keeper, can you provide proof of ownership?	Yes No
Homepage URL:
* Do you agree to the LEGAL NOTICES & TERMS OF USE in our policy statement?	Yes No