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:
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)
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!)
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