Request No:__________ Rec'd____________
Check No.:___________Date_____________
Researcher:___________________________
Date:_________________________________
JAGUAR CARS INC.
555 MacArthur Boulevard
Mahwah, New Jersey 07430­2327
Telephone ( 201) 818­8144
FAX: (201) 818­8464
Attn: Mike Cook
E-mail: mcook69@jaguar.com

VEHICLE INFORMATION REQUEST FORM
from the Jag-Lovers.Org Web Resource
INSTRUCTIONS

To obtain a response, applicant must supply ALL numbers from the commission plate. Jaguar Cars Inc. will not supply missing serial numbers of original drivetrain components. We will advise you if the numbers you have submitted do not match those of the original components. Send the completed form, together with proof of vehicle ownership, ie: photocopy of title or registration, and research fee of $40 in US funds (Jaguar Clubs of North America members: $25) to the address at top right. In order to serve all applicants fairly, we will not accept more than 3 research requests at one time from the same applicant. Allow 3 to 4 weeks for a reply.

Owner Name _____________________________________________________JCNA member#_____________

Address __________________________________________________________

City, State , Zip ____________________________________________________

Phone (days)______________________________________________________

Model

(Jaguar/Daimler) 19___ _____________________________________________

Body Style (check one):

Open two seater ________(convertible, thin canvas/vinyl top) Sedan ________(4 door hardtop, seats 4 ­ 5)
Drophead coupe ________(padded, lined top) Limousine _____
Fixed Head coupe _______(2 door hardtop, 2 seat & 2+2)

Chassis Number/V.l.N. Number ____________________________________________

Engine Number _________________________________________________________

Body Number ___________________________________________________________

Gearbox Number ________________________________________________________