1968 Z/28 Registry Form

Please fill in all available data regarding your vehicle. Required information will be designated with an *.
For clarification refer to "How to Document your Car for the Registry"

Printable / Mailing Format

* Vehicle Identification Number (VIN): 124378

* Trim Plate:

Body By Fisher
   
ST 68- BODY
TR     PAINT
GENERAL MOTORS CORPORATION CERTIFIES TO THE
DEALER THAT THIS VEHICLE CONFORMS TO ALL
FEDERAL MOTOR VEHICLE SAFETY STANDARDS APPLICABLE
AT TIME OF MANUFACTURE.

* Car Documentation: (select all that you have in your possession)

Protect-O-Plate (Warranty card)
Broadcast Sheet
Dealer Invoice
Window Sticker
New Car Order Form
No Documentation

Other Documentation:

* Car Drive Train:

Engine (select one):
    Original
    Factory Replacement
    Non Original

If original, Please enter:
Engine Production Code  V MO

Engine Block Vehicle Code  18
Transmission (select one):
    Original
    Factory Replacement
    Non Original

If original, Please select transmission:

    M20
    M21
    M22
Transmission Assembly Date Code  P8
Transmission Vehicle Code  18
Rear Axle (select one):
    Original
    Factory Replacement
    Non Original

If original, Please enter Rear Axle information:
Rear Axle Ratio Code   G
Posi-traction Manufacturer    
Rear Axle Housing Date Code

* Car Condition:

    Original
    Restored
    Other

Please describe car condition including alterations, missing drivetrain components, unique car attributes and additional comments.

Mileage: ,

* Options (select all that came with the car in its ORIGINAL form):

Custom Deluxe Seat and Shoulder Belts (AK1)
Strato-Back Bench Seat (AL4)
Standard Front Shoulder Belts (AS1)
Strato-Ease Front Seat Head Rests (AS2)
Custom Deluxe Rear Shoulder Belts (AS4)
Standard Rear Shoulder Belts (AS4)
Soft Ray Tinted Glass - All (A01)
Soft Ray Tinted Glass - windshield only(A02)
Power Windows (A31)
Folding Rear Seat (A67)
Custom Deluxe Front Shoulder Belts (A85)
Color-Keyed Front and Rear Floor Mats (B37)
Door Edge Guards (B93)
Vinyl Roof Cover (C08)
Rear Window Defroster (C50)
Driver Remote-controlled outside mirror (D33)
Floor Mounted Console (D55)
Front and Rear Spoiler (D80)
Power Front Disk Brakes (J52)** must be ordered with Z28 option
Deluxe Steering Wheel (N30)
Tilt Steering Column (N33)
Walnut grain (Rosewood) Steering Wheel (N34)
Power Steering (N40)
Special Quick-Ratio Steering (N44)
Heavy Duty Battery (T60)
Tri-Volume Horn (U03)
Speed Warning Indicator (U15)
Tic-Toc-Tachometer and Console Instrument Cluster (U17)
Electric Clock (U35)
Light Monitoring System (U46)
Stereo Tape System (U57)
Radio Delete
AM Radio (U63)
AM - FM Radio (U69)
Rear Mounted Antennae (U73)
AM - FM Stereo Radio (U79)
Rear Seat Speaker (U80)
Front Bumper Guards (V31)
Auxiliary Lighting Group (ZJ7)
Exterior Style Trim Group (Z21)
Rally Sport Package (Z22)
Interior Style Trim Group (Z23)
Special Performance Package (Z28)
Special Performance Package w/Cowl Plenum Air Cleaner (Z282)
Special Performance Package w/Exhaust Headers (Z283)
Special Performance Package w/Cowl Plenum & Exhaust Headers (Z284)
Custom Deluxe Interior (Z87)

Service Part Options:

2x4 Cross-Ram Fuel System (3940077)
"140" Camshaft (3727140)
Cowl Plenum Air Cleaner (3916621, 6484665)
Factory Exhaust Headers (3942501, 3942502)
Four Wheel Disk Brakes (3945131)
Suspension Stabilizer Bar(s)
Transistorized Ignition (1111267, 3921048)

Owner Information:
All owners Information is held in strictest confidence. No data will be used by other persons without the explicit permission of the car owner. Confidentiality and Integrity of data will be held to the highest standard.

Owner Last Name:
Owner First Name:
Owner Address:
Street 1:
Street 2:
City:
State:
Zip:
Work Phone Number:
Home Phone Number:
e-Mail Address:
Date Car Purchased:
Original Owner:

Yes
No
Current Owner:

Yes
No