Date:

MAC's Photo Showroom
PO Box 1217
Lockport NY 14095-1217

Dear MAC's,

Enclosed is a sharp color photograph of my 1909-1970's Ford or Mercury.

Please consider the picture for posting in 'MAC's Antique Auto Photo Showroom' on the World Wide Web.

(Check one)
__ MAC's may keep the photograph and add it to its "Customers' Cars" photo album on display in the MAC's showroom.
__ Mail the picture back to me in the ENCLOSED Self Addressed Stamped Envelope.
(MAC's cannot be responsible for lost or damaged photographs.)

Here is some information about my car:

Make:

Year:

Model:

(Check one)

__ I own the car and it's an unrestored 'original.'

__ I own the car and completed its restoration in ______(year).

__ I own the car but it was restored by:

My name is:

I live in (city or town):

State or Province:

Country:

My email address is:

__ (Optional) I've printed a short statement about the car (not exceeding apx. 25 words) on the back of this form.

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