ROUSH® VEHICLE OWNER REGISTRATION
(Please Print)
First Name Middle Name Last Name
Street Address
City State Zip
Daytime Phone e-mail address
ROUSH® VIN: Serial #: (found in passenger door jamb)
Purchase Date: Dealership: ROUSH® Model Purchased:
How did you learn about ROUSH®? l Newspaper/Magazine l Dealer Recommendation l Referral
l Other
Have you previously purchased ROUSH® Performance products? l Vehicles l Parts
Where do you buy aftermarket parts?
Are you a member of the ROUSH® Road Crew™, ofcial ROUSH® Club? l Yes l No
FREE rst year membership in the ROUSH® Road Crew with the purchase of a new serialized ROUSH® vehicle.
$35 value, new members only.
l Yes, sign me up! Learn more at www.ROUSHroadcrew.com
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www.facebook.com/roushroadcrew/