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Surviving Vickers Register - Submission Form

Anonymous Register, All data is optional and may be withheld as the provider wishes

Please complete the fields below and click on Submit Data to send data. You will be directed away from SAAACA Gauteng to see a confirmation message of data sent, please use Back on your Browser to return

Your full name: (Preferred):

Your email address: (e.g.: you@aol.com) (Preferred)

Original Factory (Trunnion Block) Serial Number: (Preferred)

Original Maker, if known: (Preferred)

Date of Manufacture: (Preferred)

Original Caliber, if known: (Preferred)

Current Caliber

Model / Class: (eg: Mk1 or C, K etc) (Preferred)

Water Jacket type: (Preferred)

De-Act or Live: (Optional)

Home Country, State or Province: (Optional)

Private or Institution: (Optional)

Type of Institution: (Optional)

Accessories / Accoutrements preserved with Vickers: (Optional)

Any Provenance, if known: (Preferred)

Any other Information you would like to provide: (Optional)

Have an image of your Vickers that you would like posted with submitted data ? Please send us the image and we will post it with the data - Contact SAAACA Gauteng

 

Submission Form courtesy of; Freedback.com - Please report any difficulties to the SAAACA Office

 

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