Name: Year of Birth:
City: Country/State: Zip:
Phone: HAM Radio Call Sign:
My Type 181 is shown at my Web Site:
Information on your car:
White Orange Green Yellow Blue/White
Red Tan Blue Black Military (camo/desert)
Acapulco Model? (Must have come with running boards, Bikini Top, etc)
Military Model? (Built for Military, No US Models were Military)
Show Car-To be towed only
Excellent-No Work Needed
Average-There's work but looks good
Rough but Drivable
Project Car-Not street ready
Roll Bar? Hard Top?
I use my car for:
Personal Car-used daily
Usually Garaged-driven ocassionally
Off Road-Recreation Vehicle
Commercial-Used in Business
Show Car-only for exhibition
VIN (Vehicle Identification Number):
If you don't have your VIN right now that's OK.
Submit the form with what you have. However, please send your VIN as soon
as you can as this is important to any car registry. When you do submit
your VIN you need only to complete this box.
(I will match it to this submission).
History of your Type 181:
(To Preclude Duplicate Registry Submissions of the same car)
The year I purchased this Type 181/2 was:
The Name of the Previous Owner Was:
City and State or Country purchased:
Comments & Questions
I do Do not have an objection to having my name & E-mail
address given to other Type 181 owners in my local area for the
purpose of meeting and getting together for coffee/pizza/etc.