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    Upstate Super Replicars
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      First Name:
      Last Name:
      Street Address:
      City:
      State:   Zip code:
      Home Phone:
      E-Mail Address:
     

    What type of Cobra are you interested in?

      Daytona Coupe Cobra Daytona Raodster Cobra Daytona Targa Cobra

    What type of Engine are you interested in?

      Big Block Ford FE (390, 427, 428) Small Block Ford (289, 302, 351W)

    What stage of completion are you interested in?

      Body Frame kit (Daytona)
      Daytona Coupe / Roadster Semi-complete kit
      Turnkey (Daytona Coupe / Roadster)

    How did you hear about Daytona-Coupe.com?

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    Additional Comments, Questions and information:

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    Thank you for using our information form,
    Upstate Super Replicars

footnotes
* FORD, COBRA, and DAYTONA COUPE are registered trademarks.



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Since 1962 the very name Cobra has elicited both awe and respect from enthusiasts around the world.

   
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