912 Registry - Member Level Update Form

912 Registry Member Level Update Form

Members, update your information using the electronic form below.

After submitting your updated information, you will be returned to the renewal payment page, where you can also extend your Membership. NOTE: If you do not currently own a 912, we hope you you stay involved, just type "Associate" in the VIN data box. We know past owners who buy another 912 eventually...

VIN Plate After submitting your registration form, you will be returned to the payment page, to renew or extend your Membership via credit card or check/money order. We appreciate your continued support for the 912 Registry; in addition to the 912 Registry Magazine subscription, membership card, and window decal, Memberships allow the Registry to fund additional activities.

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. Also for 912Es, look for the sticker with VIN and Month/Year Constructed information.

1) Information about your 912:
* Required Field

912 Model Year*

Body Style*

Chassis Serial Number (VIN)*

Original Exterior Color
(i.e. 6602, 213, 97-6809-G, 16153, 408-9-1, H1H1, etc.)
(click for Paint No. & Color Code list)

Date of MANUFACTURE
(i.e. on the VIN door sticker for 912E model, see above)
Otherwise, how might I obtain this information?

DELIVERY date to original owner
(i.e. from Delivery Inspection page in Owner's Manual)
Otherwise, how might I obtain this information?

Original Dealer's Name and Location
(i.e. from Delivery Inspection page in Owner's Manual)

Engine Number

Odometer reading (xxx,xxx)

Current Body Color

Upholstery

Used for

How did you acquire your 912

Additional Comments (Favorite 912 story, when and where you found your 912, special features, projects planned, previous owner's name, etc.)

2) Your contact information:

First Name*

Last Name*

Membership No.* (i.e. 912Rxxxx-x)

Street Address*

Address (cont.)

City*

North American & German States and Provinces

State/Province/Territory, if not on drop-down above

Select Country*

Country if not on drop-down above

Zip/Postal Code*

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:

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