Lähiosoite:
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Postiosoite:
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Puhelin/Faksi:__________________________________________________________________
Valmistaja/Maa
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Moottori: ____________________________________________________________________
Telamatto:
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Nopeus: ________________________________________ Paino:
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Omistaja: ____________________________________________________________________
Osoite:
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Entisöinti:
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Historia: ____________________________________________________________________
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Päivämäärä ___/___ 200__