Championship Pull Pre-Registration Form

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Championship Pull Pre-Registration Form
Paid Members Only!!!
Please print off copy for each tractor!

Member Information:

Name:_______________________________________________________________

City:___________________________ Phone#:_______________________________

Tractor Information:

Year:______________ Make:_______________________ Model:_______________

Classes to Pull at Championship Pull: (limit two)

Division:____________ Weight Class:____________

Please enclose a check made Payable to NATPA of NE for:
$15.00 per hook - if post marked by October 20th.
$20.00 per hook - if post marked October 21st - 25th or if paying at the pull site.
Hook fees will be refunded in the event of unfavorable weather.

Do you plan to attend the reception Saturday Evening October 28th?
Number planning to attend______________
This will give us an estimate of attendance so we may insure having enough food.

Classes to use for Points: (limit two)

Division:____________ Weight Class:____________

If you have more that 1 tractor to sign up, please print out more copies of this form as it will be easier for the book keeping with just one tractor per sheet. Thank-you!!!

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