Copyright  L78 Registry - All Rights Reserved

International Chevelle/Camaro/Nova L78 Registry - Certificate of Registration

L78 REGISTRY  - All Rights Reserved
Credit Cards accepted are Visa, MasterCard, American Express, and Discover.

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Your email address for receipt confirmation
(youremail@yourhost.com)

Your order will be processed without a valid email address but you will not receive a confirmation receipt from the L78 REGISTRY.
  
 Check out the SS396 Coin, Hat/Lapel Pin, and static cling sticker →
  
Select your purchase (Check One)
 Standard Certificate - U.S. Mailing Address - $26.95
 Standard Certificate - Canada Mailing Address - $29.95
 Custom Certificate - U.S. Mailing Address - $31.95
 Custom Certificate - Canada Mailing Address - $34.95

  
Add $6.00 for U.S. Priority Mail ? Yes - Add $7.00 for Priority Mail (Applicable to U.S. mailing address only)
Frame Color
 Gold
 Blue
 Green
 Maroon
 Red
 Silver
  
VIN of the L78 for confirmation
  
Name(s) to appear on certificate
(Exact spelling and capitalization)
  
Ship to Address (1)
  
Ship to Address (2) (if needed)
  
Ship to City
  
Ship to State/Province
  
Ship to ZIP/Postal code
(xxxxx), (xxxxx-xxxx), (xxx xxx)
  

Card Information

 
Card Type (Check One)
 VISA
 MASTERCARD
 AMERICAN EXPRESS
 DISCOVER

  
Card Number
(xxxx-xxxx-xxxx-xxxx) or (xxxxxxxxxxxxxxxx)
  
CVV Code on back of card
(xxx)
  
Expiration Date (mm/yy) (xx/xx)
  
Billing ZIP/Postal code of cardholder
(xxxxx), (xxxxx-xxxx), (xxx xxx)
  
L78 REGISTRY MagnetAdd Toolbox Magnet?

 Yes Please - $5.00
 No Thank You - $0.00
  
SS396 CoinAdd 2-inch Chevelle SS396 Coin?

Please order separately rom ChevelleCD
  
Add 1-inch hat/lapel pin?

Please order separately rom ChevelleCD
  
Add a 2-inch static cling sticker?

Please order separately rom ChevelleCD