©  SS 396 REGISTRY- All Rights Reserved

SS 396 Chevelle/Camaro/Nova Registry

SS 396 REGISTRY © - All Rights Reserved
Credit Cards accepted are Visa, MasterCard, American Express, and Discover.

** SS 396 Certificate of Registration Order Form **

Orders for certificates for Chevelles/Corvettes/Camaros/Novas NOT registered in the SS 396 REGISTRY will not be honored and your order will not be processed.

There are no refunds.

Note: The information entered is not checked for validity - please make sure card number/cvv is entered correctly.

If ordering more than one (1) of any item, please email me with specific item and quantities.

USPS Priority Mail is STRONGLY suggested for stickers due to the way the USPS handles large envelopes. If ordering more than one sheet of 20, order one (1) as Priority Mail and the others as 1st Class and all will ship via USPS Priority Mail. Not responsible for USPS mishandling of 1st class mail.

Your email address for receipt confirmation (Required)
(youremail@yourhost.com)

Your order will NOT be processed without a valid email address.
   
Select your Certificate
type and mailing option (Enter Quantity)
Yes, International Postage is expensive

     Standard Certificate - U.S. Mailing Address ↓- $28.95

     Standard Certificate - Outside U.S. Mailing Address ↓- $43.95

     Custom Certificate - U.S. Mailing Address ↓- $33.95

     Custom Certificate - Outside U.S. Mailing Address ↓- $48.95

   
Frame Color
 Gold
 Blue
 Green
 Maroon
 Red

Ship via USPS Priority Mail? (1 = yes, blank = no)
Leave blank for International Orders
  Add USPS Priority Mail? (1 = yes, blank = no) $9.00
Add $4.00 USPS with tracking number?
(1 = yes, blank = no)
Leave blank for International Orders
  Add USPS Mail with tracking number? (1 = yes, blank = no) $4.00
VIN of the SS 396 Chevrolet for confirmation
   
Name(s) to appear on certificate
(Exact spelling and capitalization)
Leave blank if you do not want a name
   
Ship to Address (1)
   
Ship to Address (2) (if needed)
   
Ship to City
   
Ship to State/Province
   
Ship to ZIP/Postal code
(xxxxx), (xxxxx-xxxx), (xxx xxx)
   
Phone Number (often required for shipping labels)
   
  Check out the SS 396 Coins, Hat/Lapel Pin, and stickers ↓
  Prices for U.S. Mailing Address ONLY ↓
   
SS 396 Button Add Hat/Shirt Button?
Note: 1966-1967 shown

  Enter Quantity $6.00 ea.

SS 396 ButtonSS 396 Button
1966/1967 or1968  will be shipped to correspond to your car's year.
Supplies are VERY limited. The 1969/1970 button is no longer available.
   
© SS 396 REGISTRY - All Rights Reserved
Collector Coin #1
© SS 396 REGISTRY - All Rights Reserved
Protective Case for Coin
Add 2-inch Chevelle SS 396 Collector Coin?

  Coin Only - Enter Quantity $22.00 ea.
  Coin w/protective case - Enter Quantity $23.50 ea.

  Coin w/black velvet box - Enter Quantity $29.00 ea.
  Coin w/blue velvet box - Enter Quantity $29.00 ea.
  Coin w/red velvet box - Enter Quantity $29.00 ea.
© SS 396 REGISTRY - All Rights Reserved Sample Red Velvet Display Box - Blue and Black also available

Velvet Display Box colors are in limited supply...
   
© SS 396 REGISTRY - All Rights Reserved Add 1.5-inch Chevelle/Camaro/Nova SS 396 Collector Coin?

  Enter Quantity $11.00 ea.
   
   
© SS 396 REGISTRY - All Rights Reserved Add 1-inch hat/lapel pin?

  Enter Quantity $6.00 ea.
   
© SS 396 REGISTRY - All Rights Reserved Add a 2-inch static cling sticker?

  Enter Quantity $2.00 ea.
   
© SS 396 REGISTRY - All Rights Reserved Add a sheet of SS 396 Registrant toolbox/showcard stickers?

  Enter Quantity $12.50 sheet of 20 (2-inch)
  Enter Quantity $12.50 sheet of 12 (2.5-inch)
  Enter Quantity $12.50 sheet of 6 (3.5-inch)

1967, 1968 or 1969/1970 will be shipped to correspond to your car's year.

   
© SS 396 REGISTRY - All Rights Reserved Add a sheet of SS 396 Registrant Custom stickers?

  Enter Quantity $12.50 sheet of 20 (2-inch)
  Enter Quantity $12.50 sheet of 12 (2.5-inch)
  Enter Quantity $12.50 sheet of 6 (3.5-inch)

A proof of your custom sticker will be sent for final approval.
   
© SS 396 REGISTRY - All Rights Reserved Add SS 396 Keychain ?

  Enter Quantity $8.95 ea.
   
© SS 396 REGISTRY - All Rights Reserved Add Shop Manuals DVD ?

  Enter Quantity $34.95 ea.
   
© SS 396 REGISTRY - All Rights Reserved Add 1970 SS 396/SS454 Build Sheet Decoder?

  Enter Quantity $49.95 ea.
   
© SS396 REGISTRY - All Rights Reserved© SS396 REGISTRY - All Rights Reserved   Enter Quantity One Photo Calendar $10.00 with certificate order

  Enter Quantity Two Photo Calendar $10.00 with certificate order

A proof of your calendar will be sent for final approval.
 
$  >> Order Total

   

Card Information

 
Card Type (Check One)
 VISA
 MASTERCARD
 AMERICAN EXPRESS
 DISCOVER

   
Card Number
(xxxx-xxxx-xxxx-xxxx) or (xxxxxxxxxxxxxxxx)
   
CVV Code on back of card
(xxx)
   
Expiration Date (mm/yy) (xx/xx)
   
Billing ZIP/Postal code of cardholder
(xxxxx), (xxxxx-xxxx), (xxx xxx)
   
If ordering ANY item with no certificate to any mailing address outside the U.S. an additional postage fee will be added to your credit card order. I will confirm mailing costs (generally International First Class) with USPS website and email you the additional postage charge for you to confirm order with additional postage costs.

If any accessory is mailed along with a Certificate of Registration, the additional weight may have an effect on mailing costs. If significant, all items will be mailed to a U.S mailing address will be mailed via USPS Priority Mail.