{"id":2574,"date":"2017-04-18T17:25:57","date_gmt":"2017-04-18T15:25:57","guid":{"rendered":"https:\/\/clubdelahaye.com\/?page_id=2574"},"modified":"2018-12-29T19:39:25","modified_gmt":"2018-12-29T18:39:25","slug":"fiche-survivante","status":"publish","type":"page","link":"https:\/\/clubdelahaye.com\/en\/fiche-survivante\/","title":{"rendered":"Surviving Card"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;2\/3&#8243;][vc_column_text]If you own a Delahaye vehicle, we would be very grateful to you for fill in the form below. Please don&#8217;t pay attention to technical informations if they are unknown to you. Fill in the form doesn&#8217;t engage you to become a member of the Club but could help us to complete our register and so preserving Delahaye heritage.<\/p>\n<p>If you prefer, you can also print it and send it to us. Thank you in advance for your kind help.[\/vc_column_text]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4314-o1\" lang=\"\" dir=\"ltr\" data-wpcf7-id=\"4314\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2574#wpcf7-f4314-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"4314\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4314-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p>Brand : DELAHAYE\n<\/p>\n<p><label> Type (Mandatory)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-type\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-type\" \/><\/span> <\/label>\n<\/p>\n<p><label> Coachwork\/Body type (Mandatory)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-body\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-body\" \/><\/span> <\/label>\n<\/p>\n<p><label> Coach builder<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-builder\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-builder\" \/><\/span> <\/label>\n<\/p>\n<p><label> Chassis N\u00b0<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-chassis\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-chassis\" \/><\/span> <\/label>\n<\/p>\n<p><label> Year<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-year\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-year\" \/><\/span> <\/label>\n<\/p>\n<p><label> History of your car, names of previous owners (if known to you) :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-hist\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-hist\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label> Current Owner<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-prop\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-prop\" \/><\/span> <\/label>\n<\/p>\n<p><label> Member N\u00b0<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-member\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-member\" \/><\/span> <\/label>\n<\/p>\n<p><label> Adress<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-adress\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-adress\" \/><\/span> <\/label>\n<\/p>\n<p><label> Phone Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-phone\" \/><\/span> <\/label>\n<\/p>\n<p><label> Email<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p>Additional information\n<\/p>\n<p><label> Engine N\u00b0<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-engine\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-engine\" \/><\/span> <\/label>\n<\/p>\n<p><label> Number of Carburator(s)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-carbus\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-carbus\" \/><\/span> <\/label>\n<\/p>\n<p><label> Type\/Brand of Carburators<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-type1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-type1\" \/><\/span> <\/label>\n<\/p>\n<p><label> Registration N\u00b0<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-immatriculation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-immatriculation\" \/><\/span> <\/label>\n<\/p>\n<p><label> Normal licence or special licence<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-licence\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-licence\" \/><\/span> <\/label>\n<\/p>\n<p><label> Horse Power rating & Number of cylinders<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-horse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-horse\" \/><\/span> <\/label>\n<\/p>\n<p><label> Engine Capacity<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-capacity\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-capacity\" \/><\/span> <\/label>\n<\/p>\n<p><label> Alesage<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-alesage\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-alesage\" \/><\/span> <\/label>\n<\/p>\n<p><label> Course<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-course\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-course\" \/><\/span> <\/label>\n<\/p>\n<p><label> Gearbox<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-gearbox\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-gearbox\" \/><\/span> <\/label>\n<\/p>\n<p><label>Wheel base<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-empattement\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-empattement\" \/><\/span> <\/label>\n<\/p>\n<p><label> Front Wheel Width<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-track\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-track\" \/><\/span> <\/label>\n<\/p>\n<p><label> Rear Wheel Width<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-track1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-track1\" \/><\/span> <\/label>\n<\/p>\n<p><label> Type of wheels<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-member\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-member\" \/><\/span> <\/label>\n<\/p>\n<p><label> Tyres<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-tyres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-tyres\" \/><\/span> <\/label>\n<\/p>\n<p><label> Orignal colours<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-color1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-color1\" \/><\/span> <\/label>\n<\/p>\n<p><label> Current colours<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-colors2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-colors2\" \/><\/span> <\/label>\n<\/p>\n<p><label> FIVA or country's equivalent N\u00b0<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-ffae\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-ffae\" \/><\/span> <\/label>\n<\/p>\n<p><label> Modifications from orignal state<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-state\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-state\"><\/textarea><\/span> <\/label>\n<\/p>\n<p> Please attach a 13x9cm color picture<br \/>\n3\/4 Front<br \/>\n\"Driver side\" (txt, doc, pdf, jpg, png) :\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"file-485\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".txt,.doc,.pdf,.jpg,.png\" aria-invalid=\"false\" type=\"file\" name=\"file-485\" \/><\/span>\n<\/p>\n<p> Please attach a 13x9cm color picture<br \/>\n3\/4 Rear<br \/>\n\"Other side\"<br \/>\n\"Driver side\" (txt, doc, pdf, jpg, png) :\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"file-465\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".txt,.doc,.pdf,.jpg,.png\" aria-invalid=\"false\" type=\"file\" name=\"file-465\" \/><\/span>\n<\/p>\n<p> Please attach a copy of ownership document (txt, doc, pdf, jpg, png) :\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"file-475\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".txt,.doc,.pdf,.jpg,.png\" aria-invalid=\"false\" type=\"file\" name=\"file-475\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"SEND\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][vc_column width=&#8221;1\/6&#8243;][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;2\/3&#8243;][vc_column_text]If you own a Delahaye vehicle, we would be very grateful to you for fill in the form below. Please don&#8217;t pay attention to technical informations if they are unknown to you. Fill in the form doesn&#8217;t engage you to become a member of the Club but could help us to complete our&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"class_list":["post-2574","page","type-page","status-publish","hentry","description-off"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Surviving Card - Club Delahaye<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/clubdelahaye.com\/en\/fiche-survivante\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Surviving Card - Club Delahaye\" \/>\n<meta property=\"og:description\" content=\"[vc_row][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;2\/3&#8243;][vc_column_text]If you own a Delahaye vehicle, we would be very grateful to you for fill in the form below. 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