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New/Renew Membership Form
Please print and send to address at bottom!
Member Information:

Name:_______________________________________________________________

Address:________________________

City:___________________________ Phone#:_______________________________
 

Tractor Information:

Year:______________ Make:_______________________  Model:_______________

Year:______________ Make:_______________________  Model:_______________

Year:______________ Make:_______________________  Model:_______________

Year:______________ Make:_______________________  Model:_______________

Please enclose $20 check for membership made payable to NATPA of NE!

Return this form to:
Michelle Biel
2571 18th Road
Central City Ne 68826