1964 Barracuda Form

Items with a * are mandatory fields

When complete, click the "Submit Form" button at the bottom of the page

Year
Make
Model
VIN# *	First Digit Second Digit Third Digit Fourth Digit Remaining Digits
Fender Tag Data *	SO Number BDY TRM PNT
Fender Tag Codes - Alpahbet Row * Example: A2,F1,T8
Fender Tag Codes - Number Row * (If you don't have any enter the word none.)
Engine *	170 cid Slant 6 225 cid Slant 6 273 cid V8
Transmission *	Automatic 3 speed manual 4 speed manual
Shifter *	Push Button Column Floor/ console
Axle *	SureGrip Standard Not Sure
Which Barracuda Fender Script is on your car? *	Long A Tail Short A Tail
Which Security Panel is in your car? *	Extension Short with indent Short plain Short with stands
Option/Sales Codes (optional) (found on Broadcast Sheet) Example: Engine: 21, Trans: 5, etc
Un-documented Factory or Dealer installed options (optional) (items not verified on the fender tag or broadcast sheet but you know are original to the car.)
Additional Vehicle Information (optional) (engine swaps, brake upgrades, comments, remarks, etc) :
Current Owner (optional)
Email Address: (optional)
Location of car (Country, State or Provence) *
Status *	On the road/ registered Work in progress/ not registered Parts car/ not registered Parted Out/ Gone forever
	Or you can