Austin Healey Club

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.

® The AUSTIN HEALEY CLUB Device is used under licence by Austin Healey Club Limited from MG Rover Group Limited
The Austin Healey Car Club is for owners and enthusiasts of Austin Healey cars - Austin Healey Sprite, Healey 100 and 3000, Jensen Healey
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Austin Healey Club

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100-6 & 3000 Register Form

100-6 & 3000 Register Form