| 1977 Can Am REGISTRY
FORM
Hello Can Am Owner.
My name is Verne Howard and I am starting a registry on the 1977 Pontiac
Can Am to find out more information about these unique cars. If you
would please, complete the form below on your Can Am and return the form
to me. If you have an original window sticker, invoice, build sheet
or PHS documentation; please if possible send a copy of that also.
Any additional information you may have on the Can Am would be greatly
appreciated too. If you would like to know the results of the registry
later, please include a large SASE.
NAME ADDRESS
PHONE
VIN / SERIAL NUMBER: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ IS THE CAR ORIGINAL? YES ___ NO ___ (IF NO, WHAT CHANGES) INTERIOR COLOR: RED ___ BLACK ___ TAN ___ WHITE ___ RED / WHITE ____ EXTERIOR COLOR: WHITE ___ OTHER _______ (PLEASE LIST) MILEAGE: ____________ ENGINE: T/A 6.6 (400 PONTIAC MOTOR) ___ 6.6 LITRE (403 OLDSMOBILE MOTOR) ___ 1st OWNER ___
2nd OWNER ___
3rd OWNER ___
4th OWNER ___
PLEASE MARK BELOW THE OPTIONS THAT ORIGINALLY CAME ON YOUR CAR. G80 ___SAFE-T-TRACK DIFFERENTIAL
BUCKET SEAT INFORMATION VINYL INTERIORS
SEAT MIX INTERIORS
APPOINTMENT MIX INTERIORS
11R1 / 64X____ WHITE / SADDLE
BENCH SEAT INFORMATION
VINYL INTERIORS
SEAT MIX INTERIORS
APPOINTMENT MIX INTERIORS
11N5
/ 64X____ WHITE / SADDLE
CLOTH INTERIORS 19C5____ BLACK
64C5____ BUCKSKIN
71C5____ FIRETHORN
The body identification tag is located on the passenger side of the car, at the base of the windshield. Please complete the following. S T 7 7 2 A D 3 7 P O N ___ ___ ___ ___ ___ ___ B D Y T R ___ ___ ___ ___ ___ L ___ ___ U ___ ___ ___ ___ ___ ___ GENERAL MOTORS
CORPORATION
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