100-6 & 3000 Register Form

The AHC (UK) keep registers of Healeys to help owners and enthusiasts in tracing the history of the cars, and to assist in verifying their provenance. The Register is also a deferent to theft and can help in locating stolen cars. Personal details will be kept confidential and not divulged to third parties without your consent.

Some of the information requested is available on the Heritage Certificate.

Required Fields marked *

Details about you:
Title
First Name
Initials *
Last Name *
House Name
Number & Street *
Town *
City
County / Province *
Post / Zip Code
Country *
Car Club
Membership No.
Telephone No. (digits only)
Fax No. (digits only)
Email
Details about your car:
Model
Chassis No. *
Batch No.
Body No.
Registration No.
Previous Reg. No.
Engine No. (original)
Engine No. (current)
Dispatch Date
Destination
Body Colour (original)
Body Colour (current)
Trim Colour (original)
Trim Colour (current)
Front Sidelights
Rear Sidelights
Door Handles
Steering
Drive Side (original)
Drive Side (current)
Overdrive
Gear Change
Front Brakes
Rear Brakes
Wheels (original)
Wheels (current)
Condition
History
Date of Purchase
Previous Owner 1
Previous Owner 2
Previous Owner 3
Previous Owner 4

This information will be passed to the 100-6 & 3000 Register Secretary for The Austin Healey Club (UK)
Personal details will be kept confidential and not divulged to third parties without your consent.

AH 100-6 & 3000 Register Form: To delete:- To Send:-

Hosted by AHC (UK) Midland Centre