912 Registry - Member Registration Form

912 Registry Member Registration Form

To join the Member Level, use the electronic form below. The Member Level includes a membership card, window decal, and subscription to the 912 Registry Magazine and email Newsletter. Dues within the U.S.A. are $25 for one year; outside the U.S.A. dues are $40 for one year. NOTE: If you do not currently own a 912, you are welcome to join; type "Associate" in the VIN data box.

After submitting your registration form, you will be returned to the payment page, to pay for your Membership via credit card or check. Your 912 car information will be also added to our Owners Pages, with a special Member notation.

VIN Plate To register you'll need information from your car's identification plates. For 1965-1968 cars, both the chassis number (VIN) and the original paint color information should be on the plate on the left-hand door hinge pillar, below the chassis number. For 1969 and 1976 912Es, the paint number should be still be on the top of the plate, and the VIN number should near the windshield pillar.

1) Information about your 912:
* Required Field

912 Model Year*

Body Style*

Chassis Serial Number (VIN)*

Original Exterior Paint Code #

Odometer reading
(xxx,xxx)

Current Color

Used for

Additional Comments (How you found your 912, how long owned, what improvements made, etc.)

2) Your contact information:

First Name*

Last Name*

Street Address*

Address (cont.)

City*

State/Province*

Zip/Postal Code*

Select Country*

Other Country

Work Phone

Home Phone*

Cell Phone

E-mail*

Confirm E-mail*

912 Interests
(Select all that apply) Events/Touring

Technical/Restoration/Show

Rallies/Autocross/Racing

Committee Interests

May we share your email and mailing info with our
912 Registry advertisers? *

Yes No

Select PCA Region or
"Not PCA Member"

* Required Field

3) Choose one of the following options:

This site is not associated with Porsche Cars North America, Inc., or Dr. Ing.h.c.F.Porsche, AG. Porsche is registered trademarks of Dr. Ing.h.c.F. Porsche, AG. Other product and company names mentioned herein may be the trademarks of their respective owners.