1966-1968 REPRODUCTION CERTICARD

Please send as much information as possible.
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	Owner Information Current Owners Name Address City, State & Zip Evening Phone Number Date
	Send a readable copy of title, registration, bill of sale or proof of ownership.
	Pencil rubbing of Serial Number on Door Pillar (1966-67) or Dash (1968+Newer).
	Readable pencil rubbing of Fender Tag, next to written fender tag info.
	Plus any one of the following items: Photocopy of Broadcast Sheet and/or Original Window Sticker,
	Original Owners Name : Original Address: City, State & Zip: Actual or approximate Delivery Date

Pricing

Return this information with $180.00 plus $10.00 Shipping & Handling in US only.

All Canada & International Orders require an additional $22.00 shipping & Handling

WE WILL NOT BE RESPONSIBLE FOR LOST OR DAMAGED MAIL.

Print this information or download it in text or Microsoft Word format and send or call with VISA/MASTERCARD, DISCOVER, AMERICAN EXPRESS #, Exp Date, and Name on Card. 

DO NOT EMAIL CREDIT CARD INFORMATION–EMAIL IS A NON-SECURE CONNECTION!!!

When sending orders to GTS–Envelope must include COMPLETE NAME & ADDRESS and
VIN NUMBER of the vehicle in the lower left corner of the envelope.

 

Galen’s Tag Service, LLC.
Galen V. Govier
PO Box 516
Prairie du Chien, WI  53821-0516
(608) 326-6346 VOX
(608) 326-8061 FAX