Global Austin-Healey Sprite Registry
Owners Name:
Home Address:
City:
State or Province:
Zip:
Country:
Email:
2nd Email:
Web Site:
Home Phone:
Mobile Phone:
1st AN # or HAN#:
2nd AN # or HAN#:
3dr AN # or HAN#:
4th AN # or HAN#:
5th AN # or HAN#:
6th AN # or HAN#:
Please send pictures of your Sprite/s separately to
<
DR.MOSES@verizon.net
>
with AN # or HAN# attached
About Your Sprite/s: