63-67 Sting Ray Registry

Registration Form

Membership in the 63-67 Sting Ray Registry is FREE to owners of 1963-1967 Corvettes.

ALL information on this form is treated confidentially by the Registry.  No member information is released to other Registry members or outside vendors.  It is held ONLY in the private Registry database maintained by Frank Anderson.

If you have more than one mid-year Corvette you should submit a form for each one.

NOTE: Remember to notify us if your address/phone/e-mail address changes as this is our only means of communication.  Also, please let us know if you sell your car and if you could provide us with the name and address of the new owner.  We will contact them so they'll know about the Registry.  Thanks!

Fill in completely!!

Name:
Address:
City:
State:
Zip/Postal code:
Country (if not US):
Daytime phone:
Evening phone:
Cell phone:
NOTE: If your email address ends with @aol.com, @yahoo.com or @ymail.com, enter info@t-rexsoftware.com in "E-mail" below.  Then enter your @aol.com, @yahoo.com or @ymail.com email address in E-Mail 2 below.

If your email address does NOT end in @aol.com, @yahoo.com or @ymail.com, just enter it in "E-Mail" below and
leave "E-Mail 2" blank.

E-Mail:
E-Mail 2:
I heard about the 63-67 Sting Ray Registry from:
Are you a member of the National Corvette Museum? Yes   No

Describe your 1963-1967 Corvette by selecting one item from each of the following sets of choices.  If your Corvette has been customized with non-stock paint, interior or engine you'll find an "OTHER" choice in each of the dropdown lists below.

If you choose "OTHER" anywhere, describe those features in the Comments box.

Year Body style Exterior Color Interior Color C.I.D./HP Transmission

Vehicle Identification Number (VIN#)   

Feel free to add any comments (or describe additional 63-67 Corvettes you own) below:

Click the "SUBMIT" button below to submit this form.

If you have any problems submitting your Registration Form, click HERE to email us about your problem.

Note: If, after you press the "SUBMIT" button, you don't get a screen letting you know that your Registration Form has been successfuly sent, fix 'em and try again.
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