SCOA Membership Application

1993 Model Year

( PLEASE PRINT LEGIBLY )

Please tell us about yourself:

NAME:

ADDRESS:

CITY:

STATE:

ZIP:

COUNTRY:

HOME PHONE:

WORK PHONE:

EMAIL:

To fully register your Cobra, we will need:

1. A copy of the SVT owner's certificate that you received from SVT.

Didn't get one? Call SVT at 1-800-FORD-SVT with your Cobra's VIN and request one. Tell them the SCOA sent you!

2. A full copy of your window sticker, including the dealer info in the lower left hand corner.

(A reduced size copy is OK)

Don't have a window sticker? Don't despair! Just send us your VIN, exterior color, interior color and upholstery type with the following information, dependant on the year of your Cobra:

YEAR: 1993

VIN:

EXTERIOR COLOR:

INTERIOR COLOR:

UPHOLSTERY TYPE:

	(Circle One)
Radio Type:	AM/FM Cassette	AM/FM Cassette w/ CD

Power Driver's Seat	Yes	No
Rear Window Defroster	Yes	No
Sunroof	Yes	No
Engine Block Heater	Yes	No
California Emissions	Yes	No
High Altitude Package	Yes	No

3. Purchase Information

Name of Dealer or Seller you purchased from:

Location / State of Dealer or Seller you purchased from:

Name / Location / State of original Ford dealership:

Mileage at Time of Purchase:

Date of Purchase:

While nice to have as extra documentation, the following items are not mandatory:

1. A copy of any build sheet found in your Cobra.

2. The codes off your body buck tag, which is a 4"x2" metal tag, painted body color, that is reverse stamped with codes pertaining to the build of your Cobra, and attached to your Cobra with a staple.

On the 93 Cobra, the tag is always stapled to the front of the radiator support mid-way between the hood latch and driver's side headlight.

If you are able to find it, please enter the codes here:

____________________________________________________________

3. The codes off of your door certification label (located on the driver's door).

Please fill in the appropriate template for your year Cobra:

1993

Date:

GVWR:

Front GAWR:

Rear GAWR:

VIN:

Exterior Paint Color:

DSO:

Body:

VR:

MLDG:

INT Trim:

Tape:

R:

S:

AX:

TR:

4. Code from calibration label.

5. When completed, send this application and your $15 membership fee to:

Robert Lyons
11 Netherwood Avenue
Piscataway, NJ 08854

732-457-8818 (evenings)
bob.sue.lyons@worldnet.att.net

NOTE: The SCOA does not have membership cards. The first response from the SCOA for most members will be receiving the quarterly issue of VENOM. The only exception is if merchandise or decals are ordered which will be shipped depending on availability.