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LEB Registration Form

This is the form to use if you are the owner of a Last Edition Beetle and would like your car added to the Register. Tell us as much (or as little) as you like.

Your contact details

The first section of the form is for information we use to maintain the Last Edition Beetle Register. We won't publish anything from this section, or pass it to anyone without asking you - it just allows us to keep in touch with you. Your e-mail address is particularly helpful, as it helps to save on postage.

Name:
Address:
Phone (day):
Phone (evening):
e-mail address:

Your car's details

The next section of the form is for information about your Last Edition Beetle.

LEB number (1 - 300):	(from the dashboard plaque, if you have one)
Vehicle registration number
Car's name (quite a few seem to have them...)
Owner's name
Location (town, county etc.)
Chassis number
Engine number
Date of registration
Current mileage
History and any additional information

What you'd like on your car's Web page

We'd like to create pages on our website for as many of the cars as possible, but we'll only do so with the owners' permission. Use this section of the form to tell us which (if any) of your car's details you'd like shown.

Show LEB number ?
Show vehicle registration number ?
Show car's name ?
Show owner's name ?
Show location ?
Show chassis number ?
Show engine number ?
Show date of registration ?
Show current mileage ?
Show history ?

How you found this website

We're trying to spread the word about our website, and it's helpful to know which forms of publicity work best. Please click one of the buttons below to tell us how you found you way here.

Web search engine (Google, AltaVista or similar)
Web index (Yahoo or similar)
Link from another VW website
Magazine article or advert
Word of mouth
Other

Ok, that's everything. Click on the 'Send' button to submit the form.

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