 | Owner Information
 | Current Owners Name |
 | Address |
 | City, State & Zip |
 | Evening Phone Number |
 | Date |
|
 | Send a readable copy of title, registration, bill of sale
or proof of ownership. |
 | Pencil rubbing of Serial Number on Door Pillar (1966-67) or
Dash (1968+Newer). |
 | Readable pencil rubbing of Fender Tag, next to written
fender tag info. |
 | Plus any one of the following items:
 | Photocopy of Broadcast Sheet and/or Original Window
Sticker, |
|
 | Original Owners Name :
 | Original Address: |
 | City, State & Zip: |
 | Actual or approximate Delivery Date |
|
Pricing
Return this information with $180.00
plus $16.00 Shipping & Handling in US only.
All Canada & International Orders require an additional $22.00
shipping & Handling
WE WILL NOT BE RESPONSIBLE FOR LOST OR DAMAGED MAIL.
Print this information or download it in text
or Microsoft Word format and send or call with
VISA/MASTERCARD, DISCOVER, AMERICAN EXPRESS #, Exp Date, and Name on Card.
DO NOT EMAIL CREDIT CARD INFORMATION--EMAIL IS A NON-SECURE CONNECTION!!!
When sending orders to GTS--Envelope must
include COMPLETE NAME & ADDRESS and
VIN NUMBER of the vehicle in the lower left corner of the envelope.
Galen's Tag
Service, LLC.
Galen V. Govier
PO Box 516
Prairie du Chien, WI 53821-0516
(608) 326-6346 VOX
(608) 326-8061 FAX

This page was updated 03/19/2008