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Apply for Certification Online

Certification is only $49.95!

To apply for certification online please complete in full the form below and use the submit button to send us your certification request. You can also download the PDF Version to fill out and send to us by mail. Alternatively you can Order a Packet which includes more information about the certification process and includes all the necessary forms to get started.

1. Personal

Last Name:	*
First Name:	*
Address:	*
City:	*	State:	*
ZIP Code:	*	Country:	*
Phone:	*	Alt. Phone:
E-mail:	*

2. Vehicle

Vehicle Type*
VIN #:	*
Make:	*	Model:	*
License #:		Year:	*
Ext. Color:	*	Int. Color:	*
Convertible Coupe Roadster
Condition*
Restored Unrestored Survivor
Engine*
Original Matching Replacement Non Matching
Transmission*
Original Matching Replacement Non Matching
Rear End*
Original Matching Replacement Non Matching
Transmission Type*
3 Speed 4 Speed 5 Speed 6 Speed Automatic
Brakes*
Front Disk Power Manual 4 Wheel Disk
Steering*
Power Manual

3. Vehicle History

What type of documentation do you have?

When did you buy the vehicle?

Where was the vehicle originally sold? (if known)

Which owner are you?
First Second Third Unknown
Have you made any changes to the vehicle since ownership?

What is unique about the vehicle, if anything?

4. Payment Method

A total of $49.95 will be billed to the method of payment that you select. On completion of this form you will be sent to PayPal to complete payment information.
Credit Card
PayPal

5. Review and Submit

I certify the information submitted on this form is true, accurate, and complete. I understand that any misrepresentation will cause denial of certification.*

Download Form

Certification Application.pdf